Provider Demographics
NPI:1912352915
Name:GRIFFITH, ERIN M (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:M
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:MERCEDES
Other - Last Name:STREIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:10265 WOODBURY RD
Mailing Address - Street 2:
Mailing Address - City:LAINGSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48848-9744
Mailing Address - Country:US
Mailing Address - Phone:517-225-2467
Mailing Address - Fax:517-543-4270
Practice Address - Street 1:134 S COCHRAN AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-1557
Practice Address - Country:US
Practice Address - Phone:517-541-1000
Practice Address - Fax:517-543-4270
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-27
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704264964363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704264964OtherAPRN LICENSE