Individual provider · Type 1 NPI
Brandon William Crandall, NP
Family Nurse Practitioner · Liverpool, NY
NPI number
1205275286
Active
Practice location
5100 West Taft Rd., Suite 1C
Liverpool, NY 13088
Fax (315) 452-2336
Mailing address
37 W Garden St Ste 105
Auburn, NY 13021-2663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F337995 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205275286
Brandon William Crandall, NP's National Provider Identifier is 1205275286, issued on Jun 23, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Liverpool, NY. The record was last updated on Sep 2, 2014.