Individual
AMANDA JOHNSON GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
514 STANG ST APT 2, MADISON, WI 53704-4878
(919) 524-4995
Mailing address
514 STANG ST APT 2, MADISON, WI 53704-4878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198706-30
WI
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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