Provider Demographics
NPI:1346612306
Name:GRIFFIN-MYERS, F. NDIDI UCHE IV (FNP)
Entity Type:Individual
Prefix:DR
First Name:F. NDIDI
Middle Name:UCHE
Last Name:GRIFFIN-MYERS
Suffix:IV
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:F. NDIDI
Other - Middle Name:UCHE
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:9759 N WILLEY CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5416
Mailing Address - Country:US
Mailing Address - Phone:559-930-2496
Mailing Address - Fax:
Practice Address - Street 1:4441 E KINGS CANYON RD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-3604
Practice Address - Country:US
Practice Address - Phone:559-600-4099
Practice Address - Fax:559-455-4743
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3238363LF0000X
CA320766363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily