Healthcare Provider Details

I. General information

NPI: 1083868046
Provider Name (Legal Business Name): ERIN RYAN SHEA CRNA, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN ELIZABETH RYAN WEINBERG CRNA, APRN

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

20 CARRIAGE HILL DRIVE
BRANFORD CT
06405
US

V. Phone/Fax

Practice location:
  • Phone: 203-710-9558
  • Fax:
Mailing address:
  • Phone: 203-410-1011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCSP.0045256
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number74172
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4046
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: