Provider Demographics
NPI:1871398206
Name:MCGRAW, DIANNE CAROL
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:CAROL
Last Name:MCGRAW
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 S 153RD CT
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-5025
Mailing Address - Country:US
Mailing Address - Phone:605-595-3917
Mailing Address - Fax:
Practice Address - Street 1:14818 DREXEL ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3973
Practice Address - Country:US
Practice Address - Phone:402-960-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care