MS. DIANE ROSE CROLL APRN NPI 1447226915

NPI Information

NPI: 1447226915
Provider Name: MS. DIANE ROSE CROLL, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
600 BOND ST
BRIDGEPORT, CT
ZIP 06610
Phone: (203) 384-6505
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MS. Diane Rose Croll, APRN is a family nurse practitioner in Bridgeport, CT. MS. Diane Rose Croll, APRN NPI is 1447226915. 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:

600 BOND ST
BRIDGEPORT, CT
ZIP 06610-205
Phone: (203) 384-6505

The NPI 1447226915 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 1/25/2013.

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	363L00000X	Nurse Practitioner		2827	CONNECTICUT	No
2	363LF0000X	Nurse Practitioner	Family	002827	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q54077	MEDICARE UPIN	CONNECTICUT
2	004257417	MEDICAID	CONNECTICUT
3	500001558	MEDICARE PIN	CONNECTICUT
4	D400070635	MEDICARE PIN	CONNECTICUT

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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