Griffin, Nicole

Griffin, Nicole is an individual health care provider with primary practice located at 925 Main St Ste 100 , Pennsburg PA 18073-1631. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Griffin, Nicole can be contacted via phone (267) 923-8646.

Contact Information

Primary practice address
925 Main St Ste 100 Pennsburg PA 18073-1631
Phone: (267) 923-8646
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP013619 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP013619 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP013619 Pennsylvania

Profile Details

NPI number 1578960118
LBN Legal business name Griffin, Nicole
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578960118 NPPES
Pennsylvania MEDICAID 0018444060004

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