Healthcare Provider Details

I. General information

NPI: 1497533988
Provider Name (Legal Business Name): HANNAH BETH GRISWOLD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH BETH SEARS

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

55 FRUIT ST
BOSTON MA
02114-2696
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-2000
  • Fax:
Mailing address:
  • Phone: 617-726-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2316295
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11030872
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95027067
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: