Provider Demographics
NPI:1265430490
Name:GRIFFIN, DEBORAH LORRAINE (NP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LORRAINE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2 S CASCADE AVE STE 140
Mailing Address - Street 2:COLORADO SPRINGS HEALTH PARTNERS, LLC
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1604
Mailing Address - Country:US
Mailing Address - Phone:719-538-2900
Mailing Address - Fax:719-538-2961
Practice Address - Street 1:1633 MEDICAL CENTER POINT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907
Practice Address - Country:US
Practice Address - Phone:719-632-5109
Practice Address - Fax:719-475-8963
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2316363LA2200X
COAPN.0002316-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO328103ZL1POtherMEDICARE ID
CO98706861Medicaid