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Individual

MS. ALICE JOYCE GRIFFITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ARNP, BC, CNS

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
74614
KS
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74614
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100375860C
KS
01
161876
MEDICARE
KS
Enumeration date
05/24/2005
Last updated
05/29/2015
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