Individual provider · Type 1 NPI

Crystal Lucille Treadwell

Licensed Practical Nurse · Stony Brook, NY

NPI number 1528840980 Active

Practice location

1413 Stony Brook Rd
Stony Brook, NY 11790-2214

Call (631) 444-4400 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X323171 (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 1528840980

Crystal Lucille Treadwell's National Provider Identifier is 1528840980, issued on Oct 19, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Stony Brook, NY. The record was last updated on Oct 19, 2023.