Shadaesa Crumbrey
Licensed Practical Nurse in Stratford, Connecticut
1588515977- Practice location
- 81 Justice St, Stratford, CT 06615-7443
- Phone
- 203-450-7987
- Fax
- 203-450-7987
- Last updated
- February 3, 2026
Shadaesa Crumbrey is a Licensed Practical Nurse based in Stratford, CT. Shadaesa Crumbrey practices in Stratford, CT. The NPI Number for Shadaesa Crumbrey is 1588515977 and holds a License No. 47771 (CT). The current practice location address for Shadaesa Crumbrey is 81 Justice St, Stratford, CT 06615-7443 and can be reached out via phone at 203-450-7987 and via fax at 203-450-7987.
Provider Profile Details
- NPI Number
- 1588515977
- Provider Name
- Shadaesa Crumbrey
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 81 Justice St, Stratford, CT 06615-7443
- Phone Number
- 203-450-7987
- Fax Number
- 203-450-7987
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 3, 2026
- Last Update Date
- February 3, 2026
- Certification Date
- February 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Justice St
Stratford, CT 06615-7443 - City
- Stratford
- State
- Connecticut
- Zip
- 06615-7443
- Phone Number
- 203-450-7987
- Fax Number
- 203-450-7987
Provider Business Mailing Address Details
- Address
- 81 Justice St
Stratford, CT 06615-7443 - City
- Stratford
- State
- CT
- Zip
- 06615-7443
- Phone Number
- 203-450-7987
- Fax Number
- 203-450-7987
License Information
- License Number
- 47771
- License State
- CT
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shadaesa Crumbrey?
The NPI number of Shadaesa Crumbrey is 1588515977. It was assigned on February 3, 2026 and is currently active in the NPPES registry.
What is the specialty of Shadaesa Crumbrey?
Shadaesa Crumbrey is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in CT under license number 47771.
Where does Shadaesa Crumbrey practice?
The practice location is 81 Justice St, Stratford, CT 06615-7443. The office can be reached at 203-450-7987 (phone) or 203-450-7987 (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 1588515977 directly on the NPPES registry website.