Individual
MISS AMANDA M GRABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8240
(216) 320-8745
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8240
(216) 320-8745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.358749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.358749
OHIO BOARD OF NURSING
OH
Enumeration date
01/10/2011
Last updated
01/10/2011
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