National Provider Identifier

Tabitha Domonique Griffin

Tabitha Domonique Griffin is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 615-3822.

NPI 1114495736Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1114495736
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 13, 2018
Last Updated
November 13, 2018

Practice Location

  • 55 Forthill Terrace
  • Rochester, NY 14620

Phone: (585) 615-3822

Mailing Address

  • 55 Fort Hill Ter
  • Rochester, NY 14620-4243

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1114495736
Entity Type
Individual
Last Name
Griffin
First Name
Tabitha
Middle Name
Domonique
Name Prefix
MS.
Mailing Street Address
55 Fort Hill Ter
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4243
Mailing Country
US
Mailing Phone
(585) 615-3822
Practice Street Address
55 Forthill Terrace
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620
Practice Country
US
Practice Phone
(585) 615-3822
Enumeration Date
November 13, 2018
Last Updated
November 13, 2018
Sex
Female
Sole Proprietor
Yes
Taxonomies
Licensed Practical Nurse (164W00000X)