MS. CAROLINE ANN CREDILLE CRNP PNP-AC NPI 1467714097

NPI Information

NPI: 1467714097
Provider Name: MS. CAROLINE ANN CREDILLE, CRNP, PNP-AC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
13123 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 777-1234
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MS. Caroline Ann Credille, CRNP, PNP-AC is a pediatrics nurse practitioner in Aurora, CO. MS. Caroline Ann Credille, CRNP, PNP-AC NPI is 1467714097. 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:

13123 E 16TH AVE
AURORA, CO
ZIP 80045-106
Phone: (720) 777-1234

The NPI 1467714097 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 6/11/2012 and was last updated on 8/14/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics	C-APN.0002671-C-NP	COLORADO	Yes
2	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	SP012124	PENNSYLVANIA	No

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: 11/14/2023

NPI Synchronization or Removal

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