Healthcare Provider Details

I. General information

NPI: 1255325502
Provider Name (Legal Business Name): KRISTI V GRIESS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTI V EGGERS APRN

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S WAY AVE
SUTTON NE
68979
US

IV. Provider business mailing address

2351 ROAD 318
SUTTON NE
68979-2700
US

V. Phone/Fax

Practice location:
  • Phone: 402-773-0115
  • Fax: 402-773-0119
Mailing address:
  • Phone: 402-773-0115
  • Fax: 402-773-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110724
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: