Provider Demographics
NPI:1528347069
Name:GRIFFEE, ILONDA JONELLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:ILONDA
Middle Name:JONELLE
Last Name:GRIFFEE
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:10202 W 13TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-4377
Mailing Address - Country:US
Mailing Address - Phone:316-729-9100
Mailing Address - Fax:316-729-9185
Practice Address - Street 1:57950 LEAVENWORTH ST
Practice Address - Street 2:
Practice Address - City:MCCONNELL AFB
Practice Address - State:KS
Practice Address - Zip Code:67221-3506
Practice Address - Country:US
Practice Address - Phone:316-729-9100
Practice Address - Fax:316-729-9185
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2018-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS143360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS363L00000XMedicare PIN