Basic Information
| Provider Information | |||||||||
| NPI: | 1609142934 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESCHRICHT | ||||||||
| FirstName: | EMMA | ||||||||
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| Credential: | NNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 RICHMOND DR | ||||||||
| Address2: | |||||||||
| City: | OLD GREENWICH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068701448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036378799 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5 PERRYRIDGE RD | ||||||||
| Address2: | |||||||||
| City: | GREENWICH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068304608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2038633000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2012 | ||||||||
| LastUpdateDate: | 03/30/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WN0002X | 03-285883 | CT | Y | Nursing Service Providers | Registered Nurse | Neonatal Intensive Care |
ID Information
| ID | Type | State | Issuer | Description | 002452 | 01 | CT | APRN | OTHER |