Individual provider · Type 1 NPI

Shanatha Crandall, LPN

Licensed Practical Nurse · Millport, NY

NPI number 1205429875 Active

Practice location

58 New Rd
Millport, NY 14864-9764

Fax (607) 398-2064

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X326639 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1205429875

Shanatha Crandall, LPN's National Provider Identifier is 1205429875, issued on Feb 15, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Millport, NY. The record was last updated on Feb 15, 2021.