Provider Demographics
NPI:1801116926
Name:HEMMINGSON, CRYSTAL (CRNA)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:HEMMINGSON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3921 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1747
Mailing Address - Country:US
Mailing Address - Phone:176-250-6520
Mailing Address - Fax:716-250-6565
Practice Address - Street 1:3921 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1747
Practice Address - Country:US
Practice Address - Phone:716-250-6520
Practice Address - Fax:716-250-6565
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY546439367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered