Individual
MYIA GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
50 PROSPECT ST APT 513, SOMERVILLE, MA 02143-3482
(978) 518-1392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2301180
MA
363L00000X
Nurse Practitioner
Primary
RN2301180
MA
Other
Enumeration date
05/16/2025
Last updated
06/02/2025
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