Provider Demographics
NPI:1013235415
Name:GRIFFUS, YOLANDA (LPN)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:GRIFFUS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4671 COUNTRY LANE
Mailing Address - Street 2:APT.305
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5824
Mailing Address - Country:US
Mailing Address - Phone:216-990-1830
Mailing Address - Fax:
Practice Address - Street 1:4671 COUNTRY LANE
Practice Address - Street 2:APT.305
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5824
Practice Address - Country:US
Practice Address - Phone:216-990-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN125667164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse