Provider Demographics
NPI:1366657371
Name:GRIFFIN, ANN W (RNC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:W
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 KENHORST BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611
Mailing Address - Country:US
Mailing Address - Phone:610-775-7133
Mailing Address - Fax:610-775-8658
Practice Address - Street 1:530 KENHORST BLVD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1716
Practice Address - Country:US
Practice Address - Phone:610-775-7133
Practice Address - Fax:610-775-8658
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007688363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health