Provider Demographics
NPI:1609171792
Name:GRIFFITH, LORI (CRNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE NOLTE DRIVE
Mailing Address - Street 2:PO BOX 1001
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-5001
Mailing Address - Country:US
Mailing Address - Phone:724-548-1395
Mailing Address - Fax:724-548-1396
Practice Address - Street 1:111 WOODY DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-7603
Practice Address - Country:US
Practice Address - Phone:724-287-1000
Practice Address - Fax:724-549-1396
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP010572363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030630610003Medicaid
PA1030630610005Medicaid
PA1030630610004Medicaid