Individual
LAURA A. GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-059099
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000034079
—
AL
05
—
169011
—
AL
01
—
511-58357
BCBS
AL
01
—
P01673475
MEDICARE RR
AL
Enumeration date
04/27/2006
Last updated
09/23/2019
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