Healthcare Provider Details

I. General information

NPI: 1205637121
Provider Name (Legal Business Name): MRS. AURORA JANE GRABENSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 1ST AVE
ELWOOD NE
68937-5208
US

IV. Provider business mailing address

43307 ROAD 746
SMITHFIELD NE
68976-1075
US

V. Phone/Fax

Practice location:
  • Phone: 308-785-2491
  • Fax:
Mailing address:
  • Phone: 402-340-7476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1055
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: