CRYSTAL DECKER RN
NPI 1285057364
Registered Nurse - School in Hannibal, NY
Active since January 27, 2014
About Crystal Decker Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL DECKER RN (NPI 1285057364) is an individual school provider in Hannibal, New York, licensed in New York (506005) and active in the NPI registry since January 2014.
NPPES Registry Identity
NPI1285057364
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameCRYSTAL DECKERCredential: RN
Location Address928 CAYUGA STHannibal, NY 13074-3138
Mailing Address928 Cayuga StHannibal, NY 13074-3138 · (315) 564-7916
Phone(315) 564-7916
Sole ProprietorNo
Enumeration DateJanuary 27, 2014
✔ NPI 1285057364 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in NY · 506005
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 506005 (NY)
928 CAYUGA ST, Hannibal, NY 13074
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285057364, enumerated as an "individual" on January 27, 2014.
The provider is located at 928 CAYUGA ST HANNIBAL, NY 13074 and the phone number is (315) 564-7916.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
