Individual
MELISSA A GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1941 VIRGINIA AVE STE 2, CONNERSVILLE, IN 47331-2881
(765) 827-7840
(765) 827-7841
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(657) 827-7840
(765) 827-7841
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001884A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000682482
ANTHEM
—
05
—
0067504
—
OH
05
—
200506160
—
IN
Enumeration date
03/18/2006
Last updated
05/14/2021
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