Provider Demographics
NPI:1891898672
Name:KAMPA, ERIN E (APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:E
Last Name:KAMPA
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:CARPINELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:400 COLUMBUS AVENUE
Mailing Address - Street 2:CORNELL SCOTT HILL HEALTH CENTER
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519
Mailing Address - Country:US
Mailing Address - Phone:203-503-3250
Mailing Address - Fax:203-503-3254
Practice Address - Street 1:400 COLUMBUS AVENUE
Practice Address - Street 2:CORNELL SCOTT HILL HEALTH CENTER
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519
Practice Address - Country:US
Practice Address - Phone:203-503-3250
Practice Address - Fax:203-503-3254
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004235900Medicaid
CTD400045800Medicare PIN