Provider Demographics
NPI:1174393417
Name:GRIFFIN, HANA MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:MARIE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HANA
Other - Middle Name:MARIE
Other - Last Name:FLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:1809 SE 37TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6755
Mailing Address - Country:US
Mailing Address - Phone:352-229-2308
Mailing Address - Fax:
Practice Address - Street 1:2100 SE 17TH ST STE 901
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4183
Practice Address - Country:US
Practice Address - Phone:352-229-2308
Practice Address - Fax:352-236-5461
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF06231562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily