Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 111208 | NE |
NPI | 1194021378 |
---|---|
Provider Name | Danielle Kathryn Griffin |
First Address | Lincoln, NE 68506-1276 |
Second Address | Lincoln, NE 68506-1276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2011 |
Last Update Date | 04/02/2011 |