Individual
AMANDA WIGGINS GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
28490 2ND ST STE B, DAPHNE, AL 36526-7150
(251) 308-9800
(877) 413-5104
Mailing address
4935 DOGWOOD TRL, EIGHT MILE, AL 36613-8514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-109551
AL
363LF0000X
Family Nurse Practitioner
Primary
1-109551
AL
Other
Enumeration date
08/17/2019
Last updated
04/10/2020
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