NICOLE GRIFFIN CRNP NPI 1578960118

NPI Information

  • NPI: 1578960118
  • Provider Name: NICOLE GRIFFIN, CRNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 925 MAIN ST STE 100
    PENNSBURG, PA
    ZIP 18073
  • Phone: (267) 923-8646

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NPI Details

Nicole Griffin, CRNP is a primary care nurse practitioner in Pennsburg, PA with 13 years of experience. Nicole Griffin, CRNP NPI is 1578960118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

925 MAIN ST STE 100
PENNSBURG, PA
ZIP 18073-631
Phone: (267) 923-8646

The NPI 1578960118 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilySP013619PENNSYLVANIANo
2363LP0200XNurse PractitionerPediatricsSP013619PENNSYLVANIANo
3363LP2300XNurse PractitionerPrimary CareSP013619PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10018444060004MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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