Provider Demographics
NPI:1922825397
Name:GRAFF, EARL (RN)
Entity type:Individual
Prefix:MR
First Name:EARL
Middle Name:
Last Name:GRAFF
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 GRASSY CT SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-2186
Mailing Address - Country:US
Mailing Address - Phone:505-234-2294
Mailing Address - Fax:877-747-9662
Practice Address - Street 1:3315 GRASSY CT SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-2186
Practice Address - Country:US
Practice Address - Phone:505-234-2294
Practice Address - Fax:877-747-9662
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-79070163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management