Provider Demographics
NPI:1376912592
Name:KRAJCI, ERIN CATHLEEN (APRN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CATHLEEN
Last Name:KRAJCI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:CATHLEEN
Other - Last Name:CONNERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:80 MILL RIVER ST
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3733
Mailing Address - Country:US
Mailing Address - Phone:203-348-7410
Mailing Address - Fax:203-961-8488
Practice Address - Street 1:80 MILL RIVER ST
Practice Address - Street 2:SUITE 1300
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3733
Practice Address - Country:US
Practice Address - Phone:203-348-7410
Practice Address - Fax:203-961-8488
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006252363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner