Provider Demographics
NPI:1639820764
Name:GRIFFIS, BRIANNE (CLC, DOULA)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:GRIFFIS
Suffix:
Gender:F
Credentials:CLC, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 BURLAND CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-2191
Mailing Address - Country:US
Mailing Address - Phone:407-401-4404
Mailing Address - Fax:
Practice Address - Street 1:809 BURLAND CIR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-2191
Practice Address - Country:US
Practice Address - Phone:407-401-4404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
257884174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula