Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANATHA CRANDALL, LPN
Active Sole ProprietorSHANATHA CRANDALL, LPN is a Licensed Practical Nurse healthcare provider located in MILLPORT, New York. NPI 1205429875 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MILLPORT, NY
Registration Details
- NPI Number
- 1205429875
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2021 (5.5345171423955 yrs)
- Last Updated
- Feb 15, 2021
- License
-
326639 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
58 NEW RDMILLPORT, NY, 148649764Browse NY providers · Browse ZIP 14864
- Phone
- 6072596495
- Fax
- 6073982064
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in MILLPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY JO MALLORY RHODES | LPN | 1285100073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.