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Individual

ANNA GRIZZARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 483-8196
(202) 483-0836
Mailing address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 483-8196
(202) 483-0836

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
R114638
MD
367A00000X
Advanced Practice Midwife
Primary
RN59767
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010
BCBS
01
1482782
AETNA PPO
05
170550400
MD
01
3142241
MAMSI
01
612176400
FEDERAL WORKMANS COMP
01
64075
AMERIGROUP
01
68596012
BCBS
Enumeration date
10/03/2006
Last updated
11/30/2011
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