Griffin, Mandi D
Griffin, Mandi D is an individual health care provider with primary practice located at 802 N Riverside Rd., Ste. 200, Saint Joseph MO 64506-2553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Griffin, Mandi D can be contacted via phone (816) 271-6666.Contact Information
Primary practice address
802 N Riverside Rd., Ste. 200
Saint Joseph MO 64506-2553
Phone: (816) 271-6666
Fax: (816) 271-1300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2002016178 | Missouri |
Profile Details
| NPI number | 1366610537 |
|---|---|
| LBN Legal business name | Griffin, Mandi D |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2008 |
| Last updated | Nov 21st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366610537 | NPPES |
| Kansas | MEDICAID | 200544470B | |
| Kansas | Other | P00858875 | |
| Kansas | MEDICAID | 428378301 | |
| Kansas | MEDICAID | 1366610537 |
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