Healthcare Provider Details

I. General information

NPI: 1255845202
Provider Name (Legal Business Name): GRIFFIN ANNE MCMATH ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WILLOW ST UNIT 11
FORT COLLINS CO
80524-2435
US

IV. Provider business mailing address

1500 N GRANT ST STE R
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 970-404-4490
  • Fax: 970-489-1534
Mailing address:
  • Phone: 970-404-4490
  • Fax: 970-489-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND.0000275
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: