Griswold, Camille

Griswold, Camille is an individual health care provider with primary practice located at 1221 Sixth St Suite 206, Traverse City MI 49684-2701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Griswold, Camille can be contacted via phone (231) 935-5090.

Contact Information

Primary practice address
1221 Sixth St Suite 206 Traverse City MI 49684-2701
Fax: (231) 935-5093
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704192319 Michigan

Profile Details

NPI number 1437139318
LBN Legal business name Griswold, Camille
Credentials MSN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jan 20th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437139318 NPPES
Michigan MEDICAID 104156180

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