Provider Demographics
NPI:1407665557
Name:GRECO-DAWSON, CHRISTINE SUSAN
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:SUSAN
Last Name:GRECO-DAWSON
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 1:12241 SANDRA CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-3412
Mailing Address - Country:US
Mailing Address - Phone:402-740-2094
Mailing Address - Fax:
Practice Address - Street 1:12241 SANDRA CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3412
Practice Address - Country:US
Practice Address - Phone:402-740-2094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist