MS. QUANDA MICHON GRIFFIN


Address: Southeastern Virginia Health Systems-48th Street Physic, 4714 Marshall Ave, Newport News, VA 23608
Phone: 7573808709

MS. QUANDA MICHON GRIFFIN (NPI# 1063556363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063556363
Entity Type Individual
Full Name MS. QUANDA MICHON GRIFFIN
Credential NP
Practice Address Southeastern Virginia Health Systems-48th Street Physic
4714 Marshall Ave
Newport News
VA 23608
Mailing Address 620 John Paul Jones Cir Bldg 104
Naval Medical Center Portsmouth
Portsmouth
VA 23708-2111
Practice Telephone 7573808709
Practice Fax Number 7579521345
Mailing Telephone 7579539822
Mailing Fax Number 7579539999
Enumeration Date 2007-02-19
Last Update Date 2020-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
0001150167 VA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0024168269 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address SOUTHEASTERN VIRGINIA HEALTH SYSTEMS-48TH STREET PHYSIC
4714 MARSHALL AVE
City NEWPORT NEWS
State VA
Zip Code 23608

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NPI Name Taxonomy Address Enumeration
1669943932 Marian Elizabeth Green Registered Nurse 628 Aylesbury Dr., Newport News, VA 23608 2018-12-16
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1194098848 Riverside Retirement Service PACE Provider Organization 439 Oriana Road, Newport News, VA 23608 2012-02-10
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1073161956 Behavioral Health Associates of Virginia Nurse Practitioner 11030 Warwick Blvd Ste A, Newport News, VA 23601-3251 2019-09-03
1952935033 Saundra Leann Trouslot Nurse Practitioner 825 Diligence Dr Ste 206, Newport News, VA 23606-4272 2020-02-27
1700430733 Naomi Myrick Nurse Practitioner 825 Diligence Dr Ste 206, Newport News, VA 23606-4272 2019-07-29
1154989408 Genise Maxine Binns Nurse Practitioner 11838 Rock Landing Dr, Newport News, VA 23606-4232 2019-06-02
1205313913 Sarah Faber Nurse Practitioner 825 Diligence Dr Ste 206, Newport News, VA 23606-4272 2018-07-25
1891230108 Paul A Detrana Nurse Practitioner 825 Diligence Dr Ste 206, Newport News, VA 23606-4272 2016-12-21

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Competitor

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City NEWPORT NEWS
Zip Code 23608

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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