Healthcare Provider Details

I. General information

NPI: 1598690109
Provider Name (Legal Business Name): ALLISON GRACE GRISSETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 W SAINT MARYS RD
TUCSON AZ
85745-2623
US

IV. Provider business mailing address

639 FM 1848
BUFFALO TX
75831-6843
US

V. Phone/Fax

Practice location:
  • Phone: 520-872-3000
  • Fax:
Mailing address:
  • Phone: 469-496-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number271366
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number990053
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: