Mrs. Crystal Klumpp
Nurse Practitioner - Pediatrics
1425 Portland Ave
Rochester
, New York 14621-3001
Mrs. Crystal Klumpp
Nurse Practitioner - Pediatrics
1425 Portland Ave
Rochester
, New York 14621-3001
(585) 922-4000
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Crystal Klumpp
- 1425 Portland Ave
- Rochester, NY
- Zip : 14621-3001
- Phone : (585) 922-4000
Second Address
- Mrs. Crystal Klumpp
- 1425 Portland Ave
- Rochester, NY
- Zip : 14621-3001
- Phone : (585) 922-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | F381981-1 | NY |
National Provider Identifier
| NPI | 1043473705 |
|---|---|
| Provider Name | Mrs. Crystal Klumpp |
| First Address | Rochester, NY 14621-3001 |
| Second Address | Rochester, NY 14621-3001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.