Individual
KIMBERLY MAE GRIFFITHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1444 WESTERN AVE, SUITE D, ALBANY, NY 12203
(518) 452-0587
Mailing address
PO BOX 14890, SPHP PAYER CREDENTIALING, ALBANY, NY 12212
(518) 591-1121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3009707
KY
364SF0001X
Family Health Clinical Nurse Specialist
Primary
340202
NY
Other
Enumeration date
11/11/2015
Last updated
02/14/2017
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