Provider Demographics
NPI:1043339799
Name:GRIFFITH, SHIRLEY MARIE (APRN)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:MARIE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 SUMMER ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5359
Mailing Address - Country:US
Mailing Address - Phone:203-978-5775
Mailing Address - Fax:203-978-5777
Practice Address - Street 1:1275 SUMMER ST
Practice Address - Street 2:SUITE 306
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5359
Practice Address - Country:US
Practice Address - Phone:203-978-5775
Practice Address - Fax:203-978-5777
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTR40714163WP1700X
CT001539363LP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP1700XNursing Service ProvidersRegistered NursePerinatal
Not Answered363LP1700XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatal