Provider Demographics
NPI:1962047811
Name:GRIFFIN, ANN M (DNP ARNP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:DNP ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6547 42ND AVE SW APT 404
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-3202
Mailing Address - Country:US
Mailing Address - Phone:425-753-6365
Mailing Address - Fax:
Practice Address - Street 1:160 NW GILMAN BLVD STE 423
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2549
Practice Address - Country:US
Practice Address - Phone:206-453-4530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00120602163W00000X
WAAP61078143363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse