Healthcare Provider Details

I. General information

NPI: 1629074521
Provider Name (Legal Business Name): NANCY E GRIFFIS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOMEN'S HOSPITAL CENTER, ET 3003 1611 NW 12 STREET
MIAMI FL
33136
US

IV. Provider business mailing address

3539 EMERALD OAKS DR
HOLLYWOOD FL
33021-8436
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5116
  • Fax:
Mailing address:
  • Phone: 954-989-7870
  • Fax: 954-989-7870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number0934643
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: