Healthcare Provider Details

I. General information

NPI: 1912986175
Provider Name (Legal Business Name): CLAUDIA DEE CARRIGAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E WALNUT ST
LANCASTER PA
17602-2341
US

IV. Provider business mailing address

221 E WALNUT ST
LANCASTER PA
17602-2341
US

V. Phone/Fax

Practice location:
  • Phone: 717-380-5397
  • Fax: 717-391-7821
Mailing address:
  • Phone: 717-380-5397
  • Fax: 717-391-7821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN541664
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: