NPI 1659868420 · live from the CMS NPI Registry
Sheila Ann Crerend, APRN , CPNP
Nurse Practitioner, Pediatrics in New Haven, CT. National Provider Identifier 1659868420, active.
NPI record
| NPI | 1659868420 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-688-2323 |
| Mailing address | 630 Ponus Rdg, New Canaan, CT 06840 |
| Enumerated | April 17, 2018 |
| Last updated | April 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 6940 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.