Provider Demographics
NPI:1174411185
Name:ROSS, DIANNE
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:
Last Name:ROSS
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 1:309 N LOUGHRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:NE
Mailing Address - Zip Code:68409-8003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2703 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:NE
Practice Address - Zip Code:68409-1811
Practice Address - Country:US
Practice Address - Phone:402-227-5105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant