Individual
MORGAN A GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 274-0275
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28217612A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001545036
ANTHEM PTAN
IN
05
—
300051765
—
IN
Enumeration date
06/03/2021
Last updated
12/04/2024
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