PATRICIA ANN CRANDALL LPN
NPI 1235445990
Licensed Practical Nurse in Cortland, NY

Q: What is Patricia Crandall's NPI number?

The NPI number for Patricia Crandall is 1235445990. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Q: What is Patricia Crandall's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Crandall was last updated on August 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 19, 2010

111 PORT WATSON ST, CORTLAND, NY 13045(607) 753-9326(607) 756-8458 Get Directions Write a Review

NPPES record last updated: August 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Patricia Ann Crandall Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA ANN CRANDALL LPN (NPI 1235445990) is an individual licensed practical nurse in Cortland, New York, licensed in New York (173863-1) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1235445990

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NamePATRICIA ANN CRANDALLCredential: LPN

Location Address111 PORT WATSON STCortland, NY 13045-3157

Mailing Address111 Port Watson StCortland, NY 13045-3157 · (607) 753-9326 · Fax (607) 756-8458

Phone(607) 753-9326

Fax(607) 756-8458

Sole ProprietorNo

Enumeration DateAugust 19, 2010

✔ NPI 1235445990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 173863-1

Definition

A licensed practical nurse 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.

111 PORT WATSON ST, Cortland, NY 13045

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Other Identifiers 1

Other173863-1NY · Nys Lpn License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN E. GRAY LCSW

Social Worker (Clinical)