Healthcare Provider Details

I. General information

NPI: 1932070042
Provider Name (Legal Business Name): BRIAN GRIFFIN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 N RADNOR CHESTER RD
RADNOR PA
19087-5170
US

IV. Provider business mailing address

240 N RADNOR CHESTER RD
RADNOR PA
19087-5170
US

V. Phone/Fax

Practice location:
  • Phone: 484-580-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN760108
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: