Provider Demographics
NPI:1447384813
Name:GRIFFEE, KATHERINE E (RN PHN)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:E
Last Name:GRIFFEE
Suffix:
Gender:F
Credentials:RN PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 KLAUBER AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-2121
Mailing Address - Country:US
Mailing Address - Phone:619-262-3119
Mailing Address - Fax:619-528-4087
Practice Address - Street 1:6160 MISSION GORGE RD
Practice Address - Street 2:STE 400
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3410
Practice Address - Country:US
Practice Address - Phone:619-528-4060
Practice Address - Fax:619-528-4087
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA376373163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health