Healthcare Provider Details

I. General information

NPI: 1619138237
Provider Name (Legal Business Name): ANNA ELIZABETH GRIFFITH NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 E CAMELBACK RD STE 190
PHOENIX AZ
85018-2657
US

IV. Provider business mailing address

5281 N 99TH AVE STE 100
GLENDALE AZ
85305-2209
US

V. Phone/Fax

Practice location:
  • Phone: 623-516-8252
  • Fax: 623-516-8253
Mailing address:
  • Phone: 623-516-8252
  • Fax: 623-516-8253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberAP 2879
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP2879
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: