Provider Demographics
NPI:1750189486
Name:GRAUNKE, SAMARA (DO)
Entity type:Individual
Prefix:MISS
First Name:SAMARA
Middle Name:
Last Name:GRAUNKE
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 FLORES ST APT G
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2248
Mailing Address - Country:US
Mailing Address - Phone:914-623-2447
Mailing Address - Fax:
Practice Address - Street 1:2210 FLORES ST APT G
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2248
Practice Address - Country:US
Practice Address - Phone:914-623-2447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula