Provider Demographics
NPI:1811623093
Name:GRIFFITH, CAROLINE T (NP-C)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:T
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8609 KRUGGLE CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-6307
Mailing Address - Country:US
Mailing Address - Phone:317-374-9403
Mailing Address - Fax:
Practice Address - Street 1:9365 COUNSELORS ROW STE 210
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-6418
Practice Address - Country:US
Practice Address - Phone:317-429-0120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28168963A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily