Individual
EILEEN S MORAN GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 55108-5113
(651) 637-2960
(651) 637-2961
Mailing address
1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 55108-5113
(651) 642-2700
(651) 642-9441
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R1276354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070723600
—
MN
Enumeration date
07/03/2006
Last updated
03/11/2021
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