National Provider Identifier
Shanatha Crandall, LPN
Shanatha Crandall, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Millport, NY and a listed phone number of (607) 259-6495.
Profile Overview
- NPI
- 1205429875
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 15, 2021
- Last Updated
- February 15, 2021
Practice Location
- 58 New RD
- Millport, NY 14864-9764
Phone: (607) 259-6495
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1205429875
- Entity Type
- Individual
- Last Name
- Crandall
- First Name
- Shanatha
- Credential
- LPN
- Mailing Street Address
- 58 New RD
- Mailing City
- Millport
- Mailing State
- NY
- Mailing ZIP Code
- 14864-9764
- Mailing Country
- US
- Mailing Phone
- (607) 259-6495
- Mailing Fax
- (607) 398-2064
- Practice Street Address
- 58 New RD
- Practice City
- Millport
- Practice State
- NY
- Practice ZIP Code
- 14864-9764
- Practice Country
- US
- Practice Phone
- (607) 259-6495
- Practice Fax
- (607) 398-2064
- Enumeration Date
- February 15, 2021
- Last Updated
- February 15, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)