GRIFFIN STALLARD KOPP CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1073120754- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH, 038607101
- Phone
- (603) 356-4835
- Fax
- (603) 356-2604
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
License: IA #D-161938
Nurse Anesthetist, Certified Registered
Primary License: NH #114103-23
Registered Nurse, Critical Care Medicine
License: VA #0001237895