Healthcare Provider Details
I. General information
NPI: 1942011879
Provider Name (Legal Business Name): SARAH LAWTON GRIFFITH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/20/2025
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 WOOD ST
EUREKA CA
95501-4413
US
IV. Provider business mailing address
PO BOX 285
EUREKA CA
95502-0285
US
V. Phone/Fax
- Phone: 707-268-2990
- Fax:
- Phone: 707-407-7384
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 847774 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | 847774 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: