Croll, Diane Rose

Croll, Diane Rose is an individual health care provider with primary practice located at 600 Bond St , Bridgeport CT 06610-2205. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Croll, Diane Rose can be contacted via phone (203) 384-6505.

Contact Information

Primary practice address
600 Bond St Bridgeport CT 06610-2205
Phone: (203) 384-6505
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002827 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2827 Connecticut

Profile Details

NPI number 1447226915
LBN Legal business name Croll, Diane Rose
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 25th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447226915 NPPES
Connecticut MEDICAID 004257417

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