Healthcare Provider Details

I. General information

NPI: 1194043331
Provider Name (Legal Business Name): ERIN MCCAFFREY CRESPO FNP-BC, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MCCAFFREY

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 W JOHNSTOWN RD STE 115
COLUMBUS OH
43230-2888
US

IV. Provider business mailing address

261 W JOHNSTOWN RD STE 115
COLUMBUS OH
43230-2888
US

V. Phone/Fax

Practice location:
  • Phone: 614-697-3339
  • Fax: 866-264-2760
Mailing address:
  • Phone: 614-697-3339
  • Fax: 866-264-2760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.17266
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1013959
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR183476
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024168739
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012721
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: