Henrietta Cronin, LPN
Individual provider Active NPI Licensed Practical Nurse · Highland, NY
NPI 1326199779 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1326199779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 84972 (NY)
- Practice address
- 619 N Chodikee Lake Rd
Highland, NY 12528-2726 - Phone
- (845) 834-3213
- NPI assigned
- Jan 14, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84972 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 84972 | NY | Yes |
Addresses
Primary practice location
619 N Chodikee Lake Rd
Highland, NY 12528-2726
Mailing address
619 N Chodikee Lake Rd
Highland, NY 12528-2726
Phone (845) 834-3213
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02225607 | Medicaid | NY | |
| 84972 | Other | NY | LPN LICENES NUMBER |
Other providers in Highland, NY
- Nicole Marie Conte
- Joseph A Cooper Jr.
- Nicholas Coppola
- Laura Corbett
- Molly Cowgill
- Mary Bridgid Cruser
- Erin Elizabeth Currie
- Alyssa D'Alto
- Dora M. Dalgoutte
- Kate Shults Dammer
All providers in Highland, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.