Provider Demographics
NPI:1629620083
Name:GRIFFITH, CATIE ARNOLD (APRN)
Entity Type:Individual
Prefix:
First Name:CATIE
Middle Name:ARNOLD
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 BERT KOUNS LOOP
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-8150
Mailing Address - Country:US
Mailing Address - Phone:318-683-0411
Mailing Address - Fax:318-683-0743
Practice Address - Street 1:324 PLANTATION HILLS BLVD
Practice Address - Street 2:
Practice Address - City:STONEWALL
Practice Address - State:LA
Practice Address - Zip Code:71078
Practice Address - Country:US
Practice Address - Phone:318-531-8543
Practice Address - Fax:318-591-3880
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA207154164W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse