Individual
MANDI D GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
802 N RIVERSIDE RD.,, STE. 200, SAINT JOSEPH, MO 64506-2553
(816) 271-6666
(816) 271-1300
Mailing address
802 N RIVERSIDE RD STE 200, SAINT JOSEPH, MO 64507-2553
(816) 271-6666
(816) 271-1300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2002016178
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366610537
—
MO
05
—
200544470B
—
KS
05
—
428378301
—
MO
01
—
P00858875
RR MEDICARE
MO
Enumeration date
02/11/2008
Last updated
11/21/2017
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