Healthcare Provider Details

I. General information

NPI: 1336556422
Provider Name (Legal Business Name): LYNN A GRIFFIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNN ANN VEITSCHEGGER

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 WESTGATE BLVD STE 230
TACOMA WA
98406-2572
US

IV. Provider business mailing address

6002 WESTGATE BLVD STE 230
TACOMA WA
98406-2572
US

V. Phone/Fax

Practice location:
  • Phone: 253-761-2244
  • Fax: 253-761-1040
Mailing address:
  • Phone: 253-761-2244
  • Fax: 253-761-1040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60419029
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: