Provider Demographics
NPI:1770022501
Name:GRIFFIN, ALISON (ARNP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 CANTU CT
Mailing Address - Street 2:SUITE 117
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6260
Mailing Address - Country:US
Mailing Address - Phone:941-552-8341
Mailing Address - Fax:941-437-8025
Practice Address - Street 1:2201 CANTU CT
Practice Address - Street 2:SUITE 117
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6260
Practice Address - Country:US
Practice Address - Phone:941-552-8341
Practice Address - Fax:941-437-8025
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9236792363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics