MEREDITH CRONENWETT


Address: 8793 Lightwave Ave, San Diego, CA 92123-5000
Phone: 9546639930

MEREDITH CRONENWETT (NPI# 1427543685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427543685
Entity Type Individual
Full Name MEREDITH CRONENWETT
Credential AGPCNP-BC
Practice Address 8793 Lightwave Ave
San Diego
CA 92123-5000
Practice Telephone 9546639930
Mailing Telephone 9546639930
Enumeration Date 2018-06-28
Last Update Date 2018-06-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
95009324 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
95009324 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8793 LIGHTWAVE AVE
City SAN DIEGO
State CA
Zip Code 92123-5000

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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