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Individual

MS. DELIGHT J GRISWOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP MSN APN BC

Contact information

Practice address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 450-3405
(812) 450-3099
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-3405
(812) 450-3099

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003905A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC03843F
CA
05
FHC70081F
CA
05
FHC70292F
CA
01
ZZZ42576Z
BLUE SHIELD DFP
01
ZZZ87615Z
NHC
01
ZZZ95961Z
BLUE SHIELD WFP
Enumeration date
08/05/2006
Last updated
08/02/2012
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