Provider Demographics
NPI:1386247302
Name:GRIFFITHS, ANGELA (LPN)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:GRIFFITHS
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:PO BOX 121132
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34712-1132
Mailing Address - Country:US
Mailing Address - Phone:352-246-5900
Mailing Address - Fax:
Practice Address - Street 1:32946 WOODBINE RD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9650
Practice Address - Country:US
Practice Address - Phone:352-246-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN1308301164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty