Basic Information
| Provider Information | |||||||||
| NPI: | 1629074521 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRIFFIS | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3539 EMERALD OAKS DR | ||||||||
| Address2: | |||||||||
| City: | HOLLYWOOD | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330218436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549897870 | ||||||||
| FaxNumber: | 9549897870 | ||||||||
| Practice Location | |||||||||
| Address1: | WOMEN'S HOSPITAL CENTER, ET 3003 | ||||||||
| Address2: | 1611 NW 12 STREET | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055855116 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WM0102X | 0934643 | FL | Y | Nursing Service Providers | Registered Nurse | Maternal Newborn |
ID Information
| ID | Type | State | Issuer | Description | 0934632 | 01 | FL | ARNP LICENSE NUMBER | OTHER |