Individual
NIKKI GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4203 N 172ND AVE, OMAHA, NE 68116-3060
(402) 679-0197
Mailing address
4060 VINTON ST STE 100, OMAHA, NE 68105-3863
(402) 991-9880
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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