Healthcare Provider Details

I. General information

NPI: 1194021378
Provider Name (Legal Business Name): DANIELLE KATHRYN GRIFFIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W CORNHUSKER HWY
LINCOLN NE
68521-3577
US

IV. Provider business mailing address

601 W CORNHUSKER HWY
LINCOLN NE
68521-3577
US

V. Phone/Fax

Practice location:
  • Phone: 402-441-2606
  • Fax: 402-506-7375
Mailing address:
  • Phone: 402-441-2606
  • Fax: 402-506-7375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number111208
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number111208
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number111208
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number111208
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: