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NPI Code Detail

MEDICARE: MS. ALICE JOYCE GRIFFITT MSN, ARNP, BC, CNS

MEDICARE: MS. ALICE JOYCE GRIFFITT MSN, ARNP, BC, CNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist74614KS
2363LP0808XPsychiatric/Mental Health Nurse Practitioner74614KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2161876OTHERKSMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3161876OTHERKSBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1366445215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICE JOYCE GRIFFITT MSN, ARNP, BC, CNS
Provider Business Mailing Address
First Line : 5815 BROADWAY AVE
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3123
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-4323
Provider Business Practice Location Address
First Line : 5815 BROADWAY AVE
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3123
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-4323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 05/29/2015

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