Ms. Crystal Chanel Dillard, LPN - Coram, NY

Ms. Crystal Chanel Dillard, LPN

Licensed Practical Nurse in Coram, New York

NPI 1649536103

Crystal Chanel Dillard is a Licensed Practical Nurse based in Coram, NY. Crystal Chanel Dillard practices in Coram, NY and has the professional credentials of LPN. The NPI Number for Crystal Chanel Dillard is 1649536103 and holds a License No. 308880-1 (New York).

The current practice location address for Crystal Chanel Dillard is 13 Polk Ct, Coram, NY and can be reached out via phone at 631-732-0787.

Location: 13 Polk Ct, Coram, NY, 11727-3915

NPI Number

1649536103

Provider Name

Crystal Chanel Dillard

Credential

LPN

Provider Entity Type

Individual

Gender

Female

Address

13 Polk Ct, Coram, NY, 11727-3915

Phone Number

631-732-0787

Fax Number

Provider Enumeration Date

04/09/2012

Last Update Date

03/09/2024

Address

13 Polk Ct

City

Coram

State

New York

Zip

11727-3915

Phone Number

631-732-0787

Fax Number

Address

13 Polk Ct

City

Coram

State

New York

Zip

11727-3915

Phone Number

631-732-0787

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

308880-1 (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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