National Provider Identifier
Crystal Nichole Davern, LPN
Crystal Nichole Davern, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Depew, NY and a listed phone number of (716) 715-7004.
Profile Overview
- NPI
- 1083116719
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 08, 2018
- Last Updated
- March 08, 2018
Practice Location
- 8 Deepwood Ct
- Depew, NY 14043-4244
Phone: (716) 715-7004
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1083116719
- Entity Type
- Individual
- Last Name
- Davern
- First Name
- Crystal
- Middle Name
- Nichole
- Credential
- LPN
- Provider Other Last Name
- Frohnheiser
- Provider Other First Name
- Crystal
- Provider Other Middle Name
- Nichole
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 8 Deepwood Ct
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-4244
- Mailing Country
- US
- Mailing Phone
- (716) 715-7004
- Practice Street Address
- 8 Deepwood Ct
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4244
- Practice Country
- US
- Practice Phone
- (716) 715-7004
- Enumeration Date
- March 08, 2018
- Last Updated
- March 08, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)