Healthcare Provider Details

I. General information

NPI: 1104464999
Provider Name (Legal Business Name): BRITTANY D GRIFFITH FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2019
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 MADISON AVE
MADISON WV
25130-1669
US

IV. Provider business mailing address

701 MADISON AVE
MADISON WV
25130-1669
US

V. Phone/Fax

Practice location:
  • Phone: 304-369-1230
  • Fax: 304-369-8827
Mailing address:
  • Phone: 304-369-1230
  • Fax: 304-369-8827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number104901
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: