Provider Demographics
NPI:1568986412
Name:GRIET, APRIL (L AC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:GRIET
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 TULPEHOCKEN AVE REAR OFFICE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1926
Mailing Address - Country:US
Mailing Address - Phone:267-495-8528
Mailing Address - Fax:
Practice Address - Street 1:207 TULPEHOCKEN AVE REAR OFFICE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1926
Practice Address - Country:US
Practice Address - Phone:267-495-8528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001221171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist