Individual
MRS. SUSAN MARIE GRIFFIN
Active
Individual
MRS. SUSAN MARIE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00792
SC
363L00000X
Nurse Practitioner
00792
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
00792
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0841
—
SC
Enumeration date
05/09/2006
Last updated
10/29/2020
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