Provider Demographics
NPI:1740498377
Name:GRIFFEL, MARGARET EDGINTON (ARNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:EDGINTON
Last Name:GRIFFEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-434-9562
Mailing Address - Fax:
Practice Address - Street 1:7125 MURRELL RD STE D
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7999
Practice Address - Country:US
Practice Address - Phone:321-434-9562
Practice Address - Fax:321-254-4960
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001924363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL7910OtherMEDICARE
WAG8858922Medicare PIN
WAG8872351Medicare PIN
WAG8858920Medicare PIN
WAG8858918Medicare PIN
WAG8858919Medicare PIN
WAP05763Medicare UPIN
WA9647900Medicaid