Healthcare Provider Details

I. General information

NPI: 1366709099
Provider Name (Legal Business Name): CINDY D. GRIFFITH CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 E. GALBRAITH ROAD SUITE 209
CINCINNATI OH
45236-6704
US

IV. Provider business mailing address

4760 E. GALBRAITH ROAD SUITE 209
CINCINNATI OH
45236-6704
US

V. Phone/Fax

Practice location:
  • Phone: 513-985-0741
  • Fax: 513-985-0748
Mailing address:
  • Phone: 513-985-0741
  • Fax: 513-985-0748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.13280
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP13280
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: