IndividualActive
Grace Sourile, RD
NPI 1235404864 · Registered Dietitian · Omaha, NE
Provider details
- NPI number
- 1235404864
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 960 (NE)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
4920 S 30th St
Suite 103
Omaha, NE 68107-1590
Phone: (402) 734-2028
Approximate (ZIP-level) locationGet directions
Mailing address
4920 S 30th St
Omaha, NE 68107-1590
Registry dates
- Enumerated
- 2012-03-15
- Last updated
- 2012-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.