Provider Demographics
NPI:1174212864
Name:BENNETT, GRIFFIN ANN (DNP, APRN, CNM)
Entity type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:ANN
Last Name:BENNETT
Suffix:
Gender:F
Credentials:DNP, APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9531 CHARTER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1903
Mailing Address - Country:US
Mailing Address - Phone:832-860-9119
Mailing Address - Fax:
Practice Address - Street 1:15555 CREEK BEND DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3895
Practice Address - Country:US
Practice Address - Phone:281-900-0304
Practice Address - Fax:713-554-0737
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1117381176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife