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: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15555 CREEK BEND DR
SUGAR LAND TX
77478-3895
US

IV. Provider business mailing address

9531 CHARTER RIDGE DR
HOUSTON TX
77070-1903
US

V. Phone/Fax

Practice location:
  • Phone: 281-900-0304
  • Fax: 713-554-0737
Mailing address:
  • Phone: 832-860-9119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1117381
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: