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NPI Code Detail

MEDICARE: EILEEN A SYTNYK CRNP

MEDICARE: EILEEN A SYTNYK CRNP
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
1363LF0000XFamily Nurse Practitioner6568CT
2363LF0000XFamily Nurse Practitioner71013303AIN
3363LF0000XFamily Nurse PractitionerAPRN11030258FL
4363LF0000XFamily Nurse Practitioner31670TN
5363LF0000XFamily Nurse PractitionerSP013972PA

General Provider Information

NPI Number : 1740541713
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN A SYTNYK CRNP
Provider Business Mailing Address
First Line : 900 COTTAGE GROVE RD # A5HEA
Second Line :
City : BLOOMFIELD
State : CT
Zip : 06002-2920
Country : US
Telephone Number : 860-226-4500
Fax Number :
Provider Business Practice Location Address
First Line : 900 COTTAGE GROVE RD
Second Line :
City : BLOOMFIELD
State : CT
Zip : 06002-2920
Country : US
Telephone Number : 860-226-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 04/02/2024

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