Basic Information
Provider Information
NPI: 1588338883
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRIFFIN
FirstName: ELIZABETH
MiddleName: Y
NamePrefix: MS.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 15 ROBINDALE AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288011329
CountryCode: US
TelephoneNumber: 7045771447
FaxNumber:  
Practice Location
Address1: 119 HENDERSONVILLE RD
Address2:  
City: BILTMORE FOREST
State: NC
PostalCode: 288032868
CountryCode: US
TelephoneNumber: 8282574400
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/02/2021
LastUpdateDate: 08/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP2201X91176NCY Nursing Service ProvidersRegistered NurseAmbulatory Care

No ID Information.


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