Provider Demographics
NPI:1194043331
Name:MCCAFFREY CRESPO, ERIN (FNP-BC, CRNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MCCAFFREY CRESPO
Suffix:
Gender:F
Credentials:FNP-BC, CRNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MCCAFFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:261 W JOHNSTOWN RD STE 115
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2888
Mailing Address - Country:US
Mailing Address - Phone:614-697-3339
Mailing Address - Fax:866-264-2760
Practice Address - Street 1:261 W JOHNSTOWN RD STE 115
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-2888
Practice Address - Country:US
Practice Address - Phone:614-697-3339
Practice Address - Fax:866-264-2760
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1013959363LF0000X
MDR183476363LF0000X
VA0024168739363LF0000X
PASP012721363LF0000X
OHAPRN.CNP.17266363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102889352Medicaid
PA284501Medicare PIN