MEDICARE: CATINA WILLIAMS GRIFFIN PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	908415	MS

General Provider Information

NPI Number	:	1568942324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATINA WILLIAMS GRIFFIN PMHNP

Provider Business Mailing Address
First Line	:	9 GLACIER CT
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70131-8605
Country	:	US
Telephone Number	:	504-912-1651
Fax Number	:	228-707-0029

Provider Business Practice Location Address
First Line	:	2059 E PASS RD STE 3
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39507-3761
Country	:	US
Telephone Number	:	228-274-4621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2018
Last Update Date	:	05/11/2026

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