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NPI Code Detail

MEDICARE: LAUREN E GRIFFIN-WALLS FNP-BC

MEDICARE: LAUREN E GRIFFIN-WALLS FNP-BC
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
1363LF0000XFamily Nurse PractitionerLG-0000598DE

General Provider Information

NPI Number : 1881957728
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN E GRIFFIN-WALLS FNP-BC
Provider Business Mailing Address
First Line : 424 MULBERRY ST
Second Line :
City : MILTON
State : DE
Zip : 19968-1628
Country : US
Telephone Number : 302-684-0561
Fax Number : 302-684-0604
Provider Business Practice Location Address
First Line : 424 MULBERRY ST
Second Line :
City : MILTON
State : DE
Zip : 19968-1628
Country : US
Telephone Number : 302-684-0561
Fax Number : 302-684-0604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2012
Last Update Date : 09/21/2012

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Directions to “ LAUREN E GRIFFIN-WALLS FNP-BC” Practice Location

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