National Provider Identifier

Crystal Lynn Millerd

Crystal Lynn Millerd is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Palmyra, NY and a listed phone number of (315) 576-4484.

NPI 1497023279Palmyra, NYLicensed Practical Nurse

Profile Overview

NPI
1497023279
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 07, 2011
Last Updated
December 07, 2011

Practice Location

  • 320 Vienna St
  • Palmyra, NY 14522-1516

Phone: (315) 576-4484

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1497023279
Entity Type
Individual
Last Name
Millerd
First Name
Crystal
Middle Name
Lynn
Name Prefix
Mrs.
Mailing Street Address
320 Vienna St
Mailing City
Palmyra
Mailing State
NY
Mailing ZIP Code
14522-1516
Mailing Country
US
Mailing Phone
(315) 576-4484
Practice Street Address
320 Vienna St
Practice City
Palmyra
Practice State
NY
Practice ZIP Code
14522-1516
Practice Country
US
Practice Phone
(315) 576-4484
Enumeration Date
December 07, 2011
Last Updated
December 07, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)