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NPI Code Detail

MEDICARE: VICKIE LYNN GRIFFITH CRNP

MEDICARE:   VICKIE LYNN GRIFFITH  CRNP
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
1363L00000XNurse Practitioner1-039007AL

General Provider Information

NPI Number : 1588621403
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE LYNN GRIFFITH CRNP
Provider Business Mailing Address
First Line : 4212 CARMICHAEL CT N
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-3621
Country : US
Telephone Number : 334-213-8804
Fax Number : 334-213-8815
Provider Business Practice Location Address
First Line : 4212 CARMICHAEL CT N
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-3621
Country : US
Telephone Number : 334-213-8804
Fax Number : 334-213-8815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/08/2007

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Directions to “ VICKIE LYNN GRIFFITH CRNP” Practice Location

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