Healthcare Provider Details

I. General information

NPI: 1932312667
Provider Name (Legal Business Name): KAREN DAPRILE RYAN CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 BREWSTER RD BRISTOL HOSPITAL
BRISTOL CT
06011
US

IV. Provider business mailing address

75 EAST COTTONHILL RD
NEW HARTFORD CT
06057
US

V. Phone/Fax

Practice location:
  • Phone: 860-585-3000
  • Fax:
Mailing address:
  • Phone: 860-482-5512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberE38236
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: