Susanna Dahl Cronmiller
Nurse Practitioner - Family Medicine
5520 Park Ave
Trumbull
, Connecticut 06611-3463
Susanna Dahl Cronmiller
Nurse Practitioner - Family Medicine
5520 Park Ave
Trumbull
, Connecticut 06611-3463
(585) 315-4655
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Susanna Dahl Cronmiller
- 537 Cascade Dr
- Fairfield, CT
- Zip : 06825-2300
- Phone : (585) 315-4655
Second Address
- Susanna Dahl Cronmiller
- 5520 Park Ave
- Trumbull, CT
- Zip : 06611-3463
- Phone : (203) 502-8400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 335939 | NY |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 7034 | CT |
National Provider Identifier
| NPI | 1003141706 |
|---|---|
| Provider Name | Susanna Dahl Cronmiller |
| First Address | Fairfield, CT 06825-2300 |
| Second Address | Trumbull, CT 06611-3463 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2009 |
| Last Update Date | 28/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03421996 | (05) | NY |
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.