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General NPI Number Information
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NPI Number | 1518473560
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Entity Type | Individual
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Provider Name | WILLOW GRIFFITH APRN-C
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Gender | Female
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 805 MAIN ST
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City | SALMON
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State | ID
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Zip | 83467-4316
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Country | US
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Telephone | 208-756-6212
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Fax | 208-756-6336
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Provider Business Mailing Address
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Address Line | 805 MAIN ST
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City | SALMON
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State | ID
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Zip | 83467-4316
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Country | US
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Telephone | 208-756-6212
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Fax | 208-756-6336
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57738
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License Number State | ID
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