Provider Demographics
NPI:1083133318
Name:GRIFFIN, MELISSA M (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:M
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4301 GARDEN CITY DRIVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785
Mailing Address - Country:US
Mailing Address - Phone:301-235-0060
Mailing Address - Fax:240-324-7720
Practice Address - Street 1:4301 GARDEN CITY DRIVE
Practice Address - Street 2:SUITE 304
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785
Practice Address - Country:US
Practice Address - Phone:301-235-0060
Practice Address - Fax:240-324-7720
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR169067163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse