Healthcare Provider Details

I. General information

NPI: 1174212864
Provider Name (Legal Business Name): GRIFFIN ANN BENNETT DNP, APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 HIGHWAY 290 W
BRENHAM TX
77833-5432
US

IV. Provider business mailing address

PO BOX 844658
TEMPLE TX
76508-0001
US

V. Phone/Fax

Practice location:
  • Phone: 979-337-5400
  • Fax:
Mailing address:
  • Phone: 800-994-0371
  • Fax: 254-215-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1117381
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: