Healthcare Provider Details

I. General information

NPI: 1255641825
Provider Name (Legal Business Name): DANIELLE ADAMCZYK GRIFFIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIELLE ADAMCZYK

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 MAIN ST
LYNNFIELD MA
01940
US

IV. Provider business mailing address

242 BUNKER HILL ST UNIT 1
CHARLESTOWN MA
02129-1828
US

V. Phone/Fax

Practice location:
  • Phone: 781-334-2644
  • Fax:
Mailing address:
  • Phone: 781-254-5794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN261207
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN261207
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: