person
Mrs. Elizabeth Ann Grivett, PA-C
Medical Physician Assistant in Newport Beach, California
NPI 1295777068

Elizabeth Ann Grivett is a Medical Physician Assistant based in Newport Beach, CA and is specialized in Medical. Elizabeth Ann Grivett practices in Newport Beach, CA and has the professional credentials of PA-C. The NPI Number for Elizabeth Ann Grivett is 1295777068 and holds a License No. PA13761 (California).

The current practice location address for Elizabeth Ann Grivett is 360 San Miguel Dr, Newport Beach, CA and can be reached out via phone at 949-644-1025 and via fax at 949-719-4930.

Location: 360 San Miguel Dr, Newport Beach, CA, 92660-7853
person
Provider Profile Details
NPI Number
1295777068
Provider Name
Elizabeth Ann Grivett
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
360 San Miguel Dr, Newport Beach, CA, 92660-7853
Phone Number
949-644-1025
Fax Number
949-719-4930
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WPA13761C 01 CA PERFORMING PHYSICIAN ID#
institution
Provider Business Practice Location Address Details
Address
360 San Miguel Dr
City
State
Zip
92660-7853
Phone Number
949-644-1025
Fax Number
949-719-4930
person
Provider Business Mailing Address Details
Address
360 San Miguel Dr
City
State
Zip
92660-7853
Phone Number
949-644-1025
Fax Number
949-719-4930
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA13761 (California)
Definition
Definition to come...
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