MEDICARE: ERIN GRIGG FNP

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	363LF0000X	Family Nurse Practitioner	AP7794	AZ

General Provider Information

NPI Number	:	1720466238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN GRIGG FNP

Provider Business Mailing Address
First Line	:	PO BOX 81064
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44181-0064
Country	:	US
Telephone Number	:	520-392-7500
Fax Number	:	520-323-4350

Provider Business Practice Location Address
First Line	:	6261 N LA CHOLLA BLVD STE 3
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3565
Country	:	US
Telephone Number	:	520-877-3800
Fax Number	:	520-877-3801

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

Provider Enumeration Date	:	05/16/2015
Last Update Date	:	02/04/2026

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