NICHOLE S CAMBRUZZI CRNP
Complete NPI Record 1750521498
Nurse Practitioner - Family in Harrisburg, PA


Quality Rating: 81.55 out of 100 score

NPI Status: Active since February 20, 2009

Contact Information

2151 LINGLESTOWN RD STE 100
HARRISBURG, PA
ZIP 17110
Phone: (717) 545-4786
Fax: (717) 545-6359

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Complete NPI Dataset

This page represents the complete record for NPI 1750521498. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750521498
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Entity Type Code: 1
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Name: NICHOLE
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider Middle Name: S
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Credential Text: CRNP
The city name in the location address of the provider being identified.
Provider Other Last Name: SCICCHITANO
The State code in the location of the provider being identified.
Provider Other First Name: NICHOLE
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Other Middle Name: S
The country code in the location address of the provider being identified.
Provider Other Credential Text: CRNP
The telephone number associated with the location address of the provider being identified.
Provider Other Last Name Type Code: 1
The fax number associated with the location address of the provider being identified.
Provider First Line Business Mailing Address: 2151 LINGLESTOWN RD STE 100
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address City Name: HARRISBURG
The date that a record was last updated or changed.
Provider Business Mailing Address State Name: PA
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Postal Code: 171109473
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Mailing Address Country Code If outside U S : US
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider First Line Business Practice Location Address: 2151 LINGLESTOWN RD STE 100
The first name of the provider, if the provider is an individual.
Provider Business Practice Location Address City Name: HARRISBURG
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: PA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 171109473
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7175454786
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Practice Location Address Fax Number: 7175456359
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Enumeration Date: 2/20/2009
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Last Update Date: 1/21/2021
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Gender Code: F
The city name in the location address of the provider being identified.
Healthcare Provider Taxonomy Code 1: 363LF0000X
The State code in the location of the provider being identified.
Provider License Number 1: SP010058
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider License Number State Code 1: PA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
The date that a record was last updated or changed.
Other Provider Identifier 1: 103302008
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: PA
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 1/21/2021