National Provider Identifier

Crystal Marie Eldredge

Crystal Marie Eldredge is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in East Rochester, NY and a listed phone number of (315) 406-8408.

NPI 1407141179East Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1407141179
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 10, 2011
Last Updated
June 10, 2011

Practice Location

  • 232 Gleason Cir
  • East Rochester, NY 14445-2332

Phone: (315) 406-8408

Mailing Address

  • 232 Gleason Circle
  • East Rochester, NY 14456

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1407141179
Entity Type
Individual
Last Name
Eldredge
First Name
Crystal
Middle Name
Marie
Mailing Street Address
232 Gleason Circle
Mailing City
East Rochester
Mailing State
NY
Mailing ZIP Code
14456
Mailing Country
US
Practice Street Address
232 Gleason Cir
Practice City
East Rochester
Practice State
NY
Practice ZIP Code
14445-2332
Practice Country
US
Practice Phone
(315) 406-8408
Enumeration Date
June 10, 2011
Last Updated
June 10, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)