Provider Demographics
NPI:1205277795
Name:GRIFFIN, BRIDGET LYNN (FNP)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:LYNN
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18200 LORAIN AVE
Mailing Address - Street 2:MOLL PAVILION
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-5605
Mailing Address - Country:US
Mailing Address - Phone:216-476-7413
Mailing Address - Fax:216-476-7420
Practice Address - Street 1:18200 LORAIN AVE
Practice Address - Street 2:MOLL PAVILION
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5605
Practice Address - Country:US
Practice Address - Phone:216-476-7413
Practice Address - Fax:216-476-7420
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 14955-NP363LF0000X
OHRN 337186163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse