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Shanatha Crandall, LPN
Licensed Practical Nurse in Millport, New York
NPI 1205429875

Shanatha Crandall is a Licensed Practical Nurse based in Millport, NY. Shanatha Crandall practices in Millport, NY and has the professional credentials of LPN. The NPI Number for Shanatha Crandall is 1205429875 and holds a License No. 326639 (New York).

The current practice location address for Shanatha Crandall is 58 New Rd, Millport, NY and can be reached out via phone at 607-259-6495 and via fax at 607-398-2064.

Location: 58 New Rd, Millport, NY, 14864-9764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205429875
Provider Name
Shanatha Crandall
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
58 New Rd, Millport, NY, 14864-9764
Phone Number
607-259-6495
Fax Number
607-398-2064
Provider Enumeration Date
02/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
58 New Rd
City
Millport
State
New York
Zip
14864-9764
Phone Number
607-259-6495
Fax Number
607-398-2064
person
Provider Business Mailing Address Details
Address
58 New Rd
City
Millport
State
New York
Zip
14864-9764
Phone Number
607-259-6495
Fax Number
607-398-2064
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
326639 (New York)
Definition
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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