Provider Demographics
NPI:1326104589
Name:GRIFFIN, CYNTHIA S (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:S
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 RIGOLETTE RD
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-1303
Mailing Address - Country:US
Mailing Address - Phone:318-487-5260
Mailing Address - Fax:318-487-5338
Practice Address - Street 1:3426 RIGOLETTE RD
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-1303
Practice Address - Country:US
Practice Address - Phone:318-487-5260
Practice Address - Fax:318-487-5338
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04820363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health