MR. OMODELLE FITZHERBERT CRUM-EWING RN (BSN) NPI 1063696532

NPI Information

NPI: 1063696532
Provider Name: MR. OMODELLE FITZHERBERT CRUM-EWING, RN (BSN)
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
4165 HILL AVE
BRONX, NY
ZIP 10466
Phone: (646) 938-8603
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MR. Omodelle Fitzherbert Crum-ewing, RN (BSN) is a school registered nurse in Bronx, NY. MR. Omodelle Fitzherbert Crum-ewing, RN (BSN) NPI is 1063696532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4165 HILL AVE
BRONX, NY
ZIP 10466-105
Phone: (646) 938-8603
Fax: (718) 547-4147

The enumeration date for this NPI number is 12/19/2007 and was last updated on 12/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	535857	NEW YORK	No
2	163WS0200X	Registered Nurse	School	535857	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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