Provider Demographics
NPI:1982408811
Name:MORAVEC, GRACE VERONICA
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:VERONICA
Last Name:MORAVEC
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 1:3017 SAINT MARYS AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2764
Mailing Address - Country:US
Mailing Address - Phone:402-270-2424
Mailing Address - Fax:
Practice Address - Street 1:987810 NEBRASKA MEDICAL CENTER OMAHA 42ND AND EMILE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-0001
Practice Address - Country:US
Practice Address - Phone:402-559-5130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program