Provider Demographics
NPI:1366709099
Name:GRIFFITH, CINDY D (CNP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:D
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 E. GALBRAITH ROAD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6704
Mailing Address - Country:US
Mailing Address - Phone:513-985-0741
Mailing Address - Fax:513-985-0748
Practice Address - Street 1:4760 E. GALBRAITH ROAD
Practice Address - Street 2:SUITE 209
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6704
Practice Address - Country:US
Practice Address - Phone:513-985-0741
Practice Address - Fax:513-985-0748
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.13280363LA2200X
OHNP13280363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0064170Medicaid
OHH092490Medicare PIN