Individual
ELIZABETH ANN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
921 GREELEY ST S, STILLWATER, MN 55082-5935
(651) 439-1234
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11101
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003802
LISCENSED PHYSICIAN ASSISTANT
IL
01
—
1092809
NCCPA
—
01
—
11101
LICENSED PHYSICIAN ASSISTANT
MN
Enumeration date
08/10/2010
Last updated
09/22/2022
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