MEDICARE: KRISS CECIL-CRIHFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	81191	WV

General Provider Information

NPI Number	:	1376286211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISS CECIL-CRIHFIELD

Provider Business Mailing Address
First Line	:	411 GUFFEY ST
Second Line	:
City	:	FAIRMONT
State	:	WV
Zip	:	26554-4029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 GUFFEY ST
Second Line	:
City	:	FAIRMONT
State	:	WV
Zip	:	26554-4029
Country	:	US
Telephone Number	:	304-694-3224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2022
Last Update Date	:	04/19/2022

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Directions to “ KRISS CECIL-CRIHFIELD ” Practice Location

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