Provider Demographics
NPI:1427321843
Name:GRIFFITHS, TERRI E (APRN)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:E
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 E SPRING ST
Mailing Address - Street 2:
Mailing Address - City:ANTHONY
Mailing Address - State:KS
Mailing Address - Zip Code:67003-2122
Mailing Address - Country:US
Mailing Address - Phone:620-842-5111
Mailing Address - Fax:620-842-3372
Practice Address - Street 1:1101 E SPRING ST
Practice Address - Street 2:
Practice Address - City:ANTHONY
Practice Address - State:KS
Practice Address - Zip Code:67003-2122
Practice Address - Country:US
Practice Address - Phone:620-842-5111
Practice Address - Fax:620-842-3372
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75460-071363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner