Eileen Crutchlow in Bridgeport - Nurse Practitioner
Eileen Crutchlow - NPI 1417079286
Eileen Crutchlow is a Nurse Practitioner in Bridgeport, Connecticut. Eileen Crutchlow practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Eileen Crutchlow is 1417079286. The last update date is 2007-07-08.
Eileen Crutchlow's current location address is 471 Barnum Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2033336864 and fax number 2033320376. The mailing address for Eileen Crutchlow is 471 Barnum Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen Crutchlow |
|---|---|
| Address | 471 Barnum Ave, Bridgeport, Connecticut |
| Phone Number | 2033336864 |
| Fax Number | 2033320376 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417079286 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 471 Barnum Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66082409 |
| Phone Number | 2033336864 |
| Fax Number | 2033320376 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1280 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1280 | CT | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eileen Crutchlow?
The Eileen Crutchlow has been issued the NPI (National Provider Identifier) 1417079286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Eileen Crutchlow is physically located?
The Eileen Crutchlow is situated at the following address: 471 Barnum Ave, Bridgeport, CT 66082409.
What is Eileen Crutchlow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eileen Crutchlow is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417079286 to Eileen Crutchlow?
The Eileen Crutchlow received its 1417079286 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date were the details related to Eileen Crutchlow most recently updated or revised?
The information pertaining to Eileen Crutchlow, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.