Active NPIIndividual provider

Eileen Crutchlow

Nurse Practitioner in Bridgeport, Connecticut

NPI Number1417079286
Practice location
471 Barnum Ave, Bridgeport, CT 06608-2409
Fax
203-332-0376
Last updated
July 8, 2007

Eileen Crutchlow is a Nurse Practitioner based in Bridgeport, CT. Eileen Crutchlow practices in Bridgeport, CT. The NPI Number for Eileen Crutchlow is 1417079286 and holds a License No. 001280 (CT). The current practice location address for Eileen Crutchlow is 471 Barnum Ave, Bridgeport, CT 06608-2409 and can be reached out via phone at 203-333-6864 and via fax at 203-332-0376.

Provider Profile Details

NPI Number
1417079286
Provider Name
Eileen Crutchlow
Provider Entity Type
Individual
Gender
Female
Address
471 Barnum Ave, Bridgeport, CT 06608-2409
Phone Number
203-333-6864
Fax Number
203-332-0376
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
471 Barnum Ave
Bridgeport, CT 06608-2409
Zip
06608-2409
Phone Number
203-333-6864
Fax Number
203-332-0376
Bridgeport, CT 06608Get directions →

Provider Business Mailing Address Details

Address
471 Barnum Ave
Bridgeport, CT 06608-2409
City
Bridgeport
State
CT
Zip
06608-2409
Phone Number
203-333-6864
Fax Number
203-332-0376

License Information

License Number
001280
License State
CT
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eileen Crutchlow?

The NPI number of Eileen Crutchlow is 1417079286. It was assigned on April 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Eileen Crutchlow?

Eileen Crutchlow is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 001280.

Where does Eileen Crutchlow practice?

The practice location is 471 Barnum Ave, Bridgeport, CT 06608-2409. The office can be reached at 203-333-6864 (phone) or 203-332-0376 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417079286 directly on the NPPES registry website.

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