DESHAWNTAE GRIFFIN


Address: 2468 W Lisbon Ave, Milwaukee, WI 53205-1413
Phone: 4142025080

DESHAWNTAE GRIFFIN (NPI# 1649810938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649810938
Entity Type Individual
Full Name DESHAWNTAE GRIFFIN
Practice Address 2468 W Lisbon Ave
Milwaukee
WI 53205-1413
Mailing Address Po Box 170911
Milwaukee
WI 53217-8081
Practice Telephone 4142025080
Mailing Telephone 4142025080
Enumeration Date 2020-01-14
Last Update Date 2020-01-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9828-33 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2468 W LISBON AVE
City MILWAUKEE
State WI
Zip Code 53205-1413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295080521 Kemba Banyard Nurse Practitioner 2468 W Lisbon Ave, Milwaukee, WI 53205-1413 2012-07-24

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1265980767 Wisconsin Healthcare Services Clinic/Center 2462 West Lisbon Avenue, Milwaukee, WI 53205 2016-09-14
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1407252646 Abdelrahman H. Alarga Pharmacist 1919 W North Ave., Milwaukee, WI 53205 2014-11-17
1679981328 Life Changing Ministries Substance Abuse Services Clinic/Center 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 2014-07-25
1891031969 Robin Michelle Benjamin Licensed Practical Nurse 1536 N 20th, Mil., WI 53205 2012-12-18
1275712937 Bruce G Hartwell Dentist 901 W Winnebago St, Suite Ll-01, Milwaukee, WI 53205 2007-10-30
1407978521 Westside Healthcare Association, Inc Clinic/Center 1452 N. 7th Street, Milwaukee, WI 53205 2007-04-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982203857 Tiera Manuel Nurse Practitioner 3956 N 28th St, Milwaukee, WI 53216-2637 2020-10-22
1801494778 Tajana Jovicic Nurse Practitioner 3157 S 66th St, Milwaukee, WI 53219-4105 2020-10-13
1093320459 Tyronda T Gray Nurse Practitioner 5833 N 117th St, Milwaukee, WI 53225-2207 2020-09-12
1861005837 Clair Roser Rivera Nurse Practitioner 3734 W Ohio Ave, Milwaukee, WI 53215-4047 2020-08-28
1760003909 Mary Esson Nurse Practitioner 100 N 75th St, Milwaukee, WI 53213-3516 2020-04-28
1487297271 Mackenna Leslie Hill Nurse Practitioner 11002 W Park Pl, Milwaukee, WI 53224-3615 2019-10-24
1093276040 Danielle L Laczniak Nurse Practitioner 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 2019-03-30
1871066506 Lisa Ann Parker Nurse Practitioner 3237 S 16th St # 208, Milwaukee, WI 53215-4526 2019-01-04
1467922948 Gretchen Louise Grencer-liegel Nurse Practitioner 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 2018-11-28
1871074385 Mary Teresa Falk Nurse Practitioner 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 2018-08-23
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Competitor

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City MILWAUKEE
Zip Code 53205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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