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Individual

MICHELE L GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(641) 780-8696
Mailing address
4506 SW PLUMLEY AVE, BENTONVILLE, AR 72713-6004
(640) 780-8696
(641) 780-8696

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
137710
IA
363LF0000X
Family Nurse Practitioner
2002005956
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003050675
MO
Enumeration date
04/27/2009
Last updated
02/06/2020
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