Provider Demographics
NPI:1659910818
Name:GARBRAH-AIDOO, ADJOA (RN-BSN)
Entity Type:Individual
Prefix:
First Name:ADJOA
Middle Name:
Last Name:GARBRAH-AIDOO
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 81ST CIR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55444-1654
Mailing Address - Country:US
Mailing Address - Phone:763-438-3839
Mailing Address - Fax:
Practice Address - Street 1:3010 81ST CIR N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55444-1654
Practice Address - Country:US
Practice Address - Phone:763-438-3839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-04
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2333474163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health