Provider Demographics
NPI:1649159112
Name:GRABO, GARMAI KERKULAH (CNA)
Entity type:Individual
Prefix:
First Name:GARMAI
Middle Name:KERKULAH
Last Name:GRABO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6718 28TH ST S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-5518
Mailing Address - Country:US
Mailing Address - Phone:917-703-1136
Mailing Address - Fax:
Practice Address - Street 1:6718 28TH ST S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-5518
Practice Address - Country:US
Practice Address - Phone:917-703-1136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND83530376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide