MEDICARE: ISHIATU KROMAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	91380	ND

General Provider Information

NPI Number	:	1568317832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISHIATU KROMAH

Provider Business Mailing Address
First Line	:	4535 URBAN PLAINS DR APT 308
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-3508
Country	:	US
Telephone Number	:	701-314-8580
Fax Number	:

Provider Business Practice Location Address
First Line	:	4535 URBAN PLAINS DR APT 308
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-3508
Country	:	US
Telephone Number	:	701-314-8580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ ISHIATU KROMAH ” Practice Location

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