Provider Demographics
NPI:1689947095
Name:GRIFFITHS, MAUREEN ANGELA (CNM)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:ANGELA
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11637 224TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1701
Mailing Address - Country:US
Mailing Address - Phone:718-679-2279
Mailing Address - Fax:
Practice Address - Street 1:11637 224TH ST
Practice Address - Street 2:
Practice Address - City:CAMRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411
Practice Address - Country:US
Practice Address - Phone:718-679-2279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001473-1367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife