SAMANTHA JO CRUSENBERRY WHNP NPI 1538767041

NPI Information

NPI: 1538767041
Provider Name: SAMANTHA JO CRUSENBERRY, WHNP
Classification: Registered Nurse - 163WW0101X
Entity Type: Individual

Specialization: Women's Health Care, Ambulatory

PECOS Registration: Yes

Address:
650 S WALKER ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 334-0698
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Samantha Jo Crusenberry, WHNP is a women's health care and ambulatory registered nurse in Bloomington, IN with 4 years of experience. Samantha Jo Crusenberry, WHNP NPI is 1538767041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

650 S WALKER ST
BLOOMINGTON, IN
ZIP 47403-158
Phone: (812) 334-0698

The NPI 1538767041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2020 and was last updated on 10/16/2020.

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	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	28222223A	INDIANA	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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