Provider Demographics
NPI:1386683514
Name:GRIFFITH, TAMI JOI (FNP)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:JOI
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TAMI
Other - Middle Name:MURPHREE
Other - Last Name:GRIFFITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CFNP
Mailing Address - Street 1:201 SIPPRELLE DR
Mailing Address - Street 2:
Mailing Address - City:PARACHUTE
Mailing Address - State:CO
Mailing Address - Zip Code:81635-9234
Mailing Address - Country:US
Mailing Address - Phone:970-625-6496
Mailing Address - Fax:
Practice Address - Street 1:201 SIPPRELLE DR
Practice Address - Street 2:
Practice Address - City:PARACHUTE
Practice Address - State:CO
Practice Address - Zip Code:81635-9234
Practice Address - Country:US
Practice Address - Phone:970-625-6496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN-0004887-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5186516Medicaid
CO264141YMJ3Medicare PIN