Provider Demographics
NPI:1326735978
Name:CRONKITE, CARRIE LYNNE (RN)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:LYNNE
Last Name:CRONKITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04787-0245
Mailing Address - Country:US
Mailing Address - Phone:207-428-8305
Mailing Address - Fax:207-429-8305
Practice Address - Street 1:707 EGYPT RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:ME
Practice Address - Zip Code:04787-3107
Practice Address - Country:US
Practice Address - Phone:207-762-1023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN42860163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health