MRS. CORNELIA ALICE GRIFFIN


Address: 2007 S Peninsula Dr, Daytona Beach, FL 32118-5213
Phone: 3862550076

MRS. CORNELIA ALICE GRIFFIN (NPI# 1508850645) 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) 1508850645
Entity Type Individual
Full Name MRS. CORNELIA ALICE GRIFFIN
Credential N.P.
Practice Address 2007 S Peninsula Dr
Daytona Beach
FL 32118-5213
Practice Telephone 3862550076
Mailing Telephone 3862550076
Enumeration Date 2005-09-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
ARNP3247842 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2007 S PENINSULA DR
City DAYTONA BEACH
State FL
Zip Code 32118-5213

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1982059085 Kayla Norwood Nurse Practitioner 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 2016-04-27
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1497008643 Janet M Bradstreet Nurse Practitioner 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 2012-10-24
1386872562 Vicki Marcelle Brandenburg Nurse Practitioner 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 2009-06-26
1063473262 Marjory W Quammie Nurse Practitioner 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 2006-03-29
1386603199 Barbara L Brownfield Nurse Practitioner 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 2006-03-21
1982663712 Debra A Rome Nurse Practitioner 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 2006-03-21

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Competitor

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City DAYTONA BEACH
Zip Code 32118

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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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