Provider Demographics
NPI:1184960676
Name:GROTE, JANICE SUE (RN)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:SUE
Last Name:GROTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 SUNFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:MARTELL
Mailing Address - State:NE
Mailing Address - Zip Code:68404-5015
Mailing Address - Country:US
Mailing Address - Phone:402-580-0720
Mailing Address - Fax:
Practice Address - Street 1:4201 SUNFLOWER RD
Practice Address - Street 2:
Practice Address - City:MARTELL
Practice Address - State:NE
Practice Address - Zip Code:68404-5015
Practice Address - Country:US
Practice Address - Phone:402-580-0720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE70335163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse