Kathleen Anne Crimmins, RN

Individual provider Active NPI School Registered Nurse · Horseheads, NY

NPI 1003199134 · NPPES record last updated Sep 26, 2011

Key facts

NPI
1003199134
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
340995 (NY)
Practice address
112 Ridge Rd
Horseheads, NY 14845-1705
Phone
(607) 739-6352
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
340995NYMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 340995 NY Yes

Addresses

Primary practice location

112 Ridge Rd
Horseheads, NY 14845-1705

Mailing address

112 Ridge Rd
Horseheads, NY 14845-1705
Phone (607) 739-6352

Other providers in Horseheads, NY

All providers in Horseheads, NY · School Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.