MEDICARE: ANN M GRIFFIN DNP ARNP

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	163W00000X	Registered Nurse	RN00120602	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61078143	WA

General Provider Information

NPI Number	:	1962047811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN M GRIFFIN DNP ARNP

Provider Business Mailing Address
First Line	:	6547 42ND AVE SW APT 404
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-3202
Country	:	US
Telephone Number	:	425-753-6365
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 NW GILMAN BLVD STE 423
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-2549
Country	:	US
Telephone Number	:	206-453-4530
Fax Number	:

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

Provider Enumeration Date	:	11/14/2019
Last Update Date	:	12/23/2022

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