Active NPIIndividual provider

Crystal L Ruzzo, APRN

Nurse Practitioner, Family in Groton, Connecticut

NPI Number1861082398
Practice location
32 Chicago Ave, Groton, CT 06340-4962
Fax
—
Last updated
January 26, 2022

Crystal Lynn Ruzzo is a Nurse Practitioner, Family based in Groton, CT. Crystal Lynn Ruzzo practices in Groton, CT and has the professional credentials of APRN. The NPI Number for Crystal Lynn Ruzzo is 1861082398 and holds a License No. APRN02545 (RI). The current practice location address for Crystal Lynn Ruzzo is 32 Chicago Ave, Groton, CT 06340-4962 and can be reached out via phone at 860-629-8272.

Provider Profile Details

NPI Number
1861082398
Provider Name
Crystal Lynn Ruzzo
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
32 Chicago Ave, Groton, CT 06340-4962
Phone Number
860-629-8272
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Crystal Lynn Joly (Former Name)
Provider Enumeration Date
January 19, 2021
Last Update Date
January 26, 2022
Certification Date
January 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Chicago Ave
Groton, CT 06340-4962
City
Groton
Zip
06340-4962
Phone Number
860-629-8272
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
32 Chicago Ave
Groton, CT 06340-4962
City
Groton
State
CT
Zip
06340-4962
Phone Number
860-628-8272

License Information

License Number (1)
APRN02545
License State (1)
RI
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
9463
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Crystal L Ruzzo, APRN?

The NPI number of Crystal L Ruzzo, APRN is 1861082398. It was assigned on January 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Crystal L Ruzzo, APRN?

Crystal L Ruzzo, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number APRN02545.

Where does Crystal L Ruzzo, APRN practice?

The practice location is 32 Chicago Ave, Groton, CT 06340-4962. The office can be reached at 860-629-8272 (phone).

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 1861082398 directly on the NPPES registry website.

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