Provider Demographics
NPI:1851782924
Name:GRIFFITH, KRISTINA (MSN, APRN, CNM)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MSN, APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22422 JUDD DR
Mailing Address - Street 2:
Mailing Address - City:CHUGIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99567-5344
Mailing Address - Country:US
Mailing Address - Phone:918-302-7458
Mailing Address - Fax:
Practice Address - Street 1:22422 JUDD DR
Practice Address - Street 2:
Practice Address - City:CHUGIAK
Practice Address - State:AK
Practice Address - Zip Code:99567-5344
Practice Address - Country:US
Practice Address - Phone:918-302-7458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-11
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK33150163W00000X
AK212281367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse