Provider Demographics
NPI:1467731398
Name:LUNGARIELLO-GRIFFIN, DENISE MARIE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MARIE
Last Name:LUNGARIELLO-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 1:88 ROCK RIMMON RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-2817
Mailing Address - Country:US
Mailing Address - Phone:203-981-3126
Mailing Address - Fax:203-614-7437
Practice Address - Street 1:88 ROCK RIMMON RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-2817
Practice Address - Country:US
Practice Address - Phone:203-981-3126
Practice Address - Fax:203-359-0509
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily