Provider Demographics
NPI:1518299171
Name:GRAF, TAJON (CNA)
Entity Type:Individual
Prefix:MISS
First Name:TAJON
Middle Name:
Last Name:GRAF
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 1:2017 KILLARNEY PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-9180
Mailing Address - Country:US
Mailing Address - Phone:704-890-4872
Mailing Address - Fax:
Practice Address - Street 1:2017 KILLARNEY PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-9180
Practice Address - Country:US
Practice Address - Phone:704-890-4872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide