Provider Demographics
NPI:1437957800
Name:GROENHAGEN, ROXANE MARIE
Entity type:Individual
Prefix:
First Name:ROXANE
Middle Name:MARIE
Last Name:GROENHAGEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 SPRINGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-1611
Mailing Address - Country:US
Mailing Address - Phone:402-871-0181
Mailing Address - Fax:402-509-2141
Practice Address - Street 1:7606 SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-1611
Practice Address - Country:US
Practice Address - Phone:402-871-0181
Practice Address - Fax:402-509-2141
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion