Provider Demographics
NPI:1013535483
Name:GRIFFIN, SAMANTHA (CLD, CPICD)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:CLD, CPICD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15218 N BERWICK LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-9029
Mailing Address - Country:US
Mailing Address - Phone:202-827-5652
Mailing Address - Fax:
Practice Address - Street 1:15218 N BERWICK LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-9029
Practice Address - Country:US
Practice Address - Phone:202-827-5652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-11
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula