Provider Demographics
NPI:1710622980
Name:GRIFFITHS, VERONICA (RN)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 SMITH CLOVE RD.
Mailing Address - Street 2:PO BOX 523
Mailing Address - City:CENTRAL VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10917
Mailing Address - Country:US
Mailing Address - Phone:914-714-8795
Mailing Address - Fax:
Practice Address - Street 1:119 SMITH CLOVE RD
Practice Address - Street 2:
Practice Address - City:CENTRAL VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10917-3413
Practice Address - Country:US
Practice Address - Phone:914-714-8795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY555339-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse