Provider Demographics
NPI:1417141847
Name:GRIFFIN, MARION H (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARION
Middle Name:H
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 EVERETT ST
Mailing Address - Street 2:LESLEY UNIVERSITY STUDENT HEALTH SERVICE
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-2702
Mailing Address - Country:US
Mailing Address - Phone:617-349-8222
Mailing Address - Fax:
Practice Address - Street 1:29 EVERETT ST
Practice Address - Street 2:LESLEY UNIVERSITY STUDENT HEALTH SERVICE
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-2702
Practice Address - Country:US
Practice Address - Phone:617-349-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227152363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool