Grevengoed, Mikayla K

Grevengoed, Mikayla K is an individual health care provider with primary practice located at 8200 Dodge St , Omaha NE 68114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Grevengoed, Mikayla K can be contacted via phone (402) 955-5400.

Contact Information

Primary practice address
8200 Dodge St Omaha NE 68114
Phone: (402) 955-5400
Fax: (402) 955-4364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 115612 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2429 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2429 Nebraska

Profile Details

NPI number 1215568175
LBN Legal business name Grevengoed, Mikayla K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2020
Last updated May 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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