Provider Demographics
NPI:1750941415
Name:GRIFFIN, SABRINA BRANCH (RN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:BRANCH
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5935 HOPKINS RD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5436
Mailing Address - Country:US
Mailing Address - Phone:804-477-7851
Mailing Address - Fax:804-340-6969
Practice Address - Street 1:5935 HOPKINS RD STE 204
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5436
Practice Address - Country:US
Practice Address - Phone:804-477-7851
Practice Address - Fax:804-340-6969
Is Sole Proprietor?:No
Enumeration Date:2019-06-15
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001189325171M00000X, 163WC0400X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0811185401Medicaid