| Doctor Name: | MS. CARLA RAE GRIFFIN |
| NPI Number: | 1144432741 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 50102 |
| Business Practice Address: | 100 Indian Hills Drive Macy, NE - 68039 |
| Business Phone Number: | 4028375381 |
| Business Fax Number: | 4028375222 |
| Mailing Address: | 100 Indian Hills Drive, P.o. Box 250 MACY |
| State: | NE |
| Postal Code: | 680390250 |
| Phone Number: | 4028375381 |
| Fax Number: | 4028375222 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 50102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |