Provider Demographics
NPI:1265311369
Name:GRIBOSKI, ELASIBETH JEAN
Entity type:Individual
Prefix:
First Name:ELASIBETH
Middle Name:JEAN
Last Name:GRIBOSKI
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 1:4200 CORNHUSKER HWY TRLR 2
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-1648
Mailing Address - Country:US
Mailing Address - Phone:531-893-0567
Mailing Address - Fax:
Practice Address - Street 1:4200 CORNHUSKER HWY TRLR 2
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-1648
Practice Address - Country:US
Practice Address - Phone:531-893-0567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant