Provider Demographics
NPI:1053076075
Name:GRIFFIN, ASHLYNN F (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ASHLYNN
Middle Name:F
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13527 WANTY RD
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MI
Mailing Address - Zip Code:48160-9121
Mailing Address - Country:US
Mailing Address - Phone:734-625-4191
Mailing Address - Fax:
Practice Address - Street 1:13527 WANTY RD
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MI
Practice Address - Zip Code:48160-9121
Practice Address - Country:US
Practice Address - Phone:734-625-4191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704363806163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse