Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amara Grisedale

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104716778

Amara Grisedale is a Student in an Organized Health Care Education/Training Program in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

987020 Nebraska Medical Ctr
Omaha, NE 68198-7020
Phone: (402) 559-5315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104716778
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address987020 Nebraska Medical Ctr, Omaha, NE 68198-7020

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