Individual provider · Type 1 NPI

Lynne M. Lacey Crandall, MS, CNS, ARNP

Nurse Practitioner · North Port, FL

NPI number 1104932623 Active

Practice location

13815 Tamiami Trl, North Port Medical Center
North Port, FL 34287-2069

Fax (941) 426-3994

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	ARNP3380712 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104932623

Lynne M. Lacey Crandall, MS, CNS, ARNP's National Provider Identifier is 1104932623, issued on Aug 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Port, FL. The record was last updated on Jul 8, 2007.