Amara Grisedale
Student in an Organized Health Care Education/Training Program in Omaha, NE. Individual provider (NPI-1).
NPI number1104716778
StatusActive
Last updated in NPPESJul 7, 2025
Details
- NPI
- 1104716778
- Entity type
- Individual (NPI-1)
- Name
- Amara Grisedale
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2025
- Certification date
- Jul 7, 2025
- Last updated
- Jul 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
987020 Nebraska Medical CtrOmaha, NE 68198-7020
Phone 402-559-5315
Mailing address
987020 Nebraska Medical CtrOmaha, NE 68198-7020
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