MR. ABBIN ETHAN CRANDELL RN, CDCES
NPI 1528825395
Registered Nurse - Diabetes Educator in Palm Coast, FL
Active since February 28, 2024
About Mr. Abbin Ethan Crandell Rn, Cdces NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ABBIN ETHAN CRANDELL RN, CDCES (NPI 1528825395) is an individual diabetes educator provider in Palm Coast, Florida, licensed in Florida (RN9356329) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1528825395
Entity TypeIndividualMale
Primary Taxonomy163WD0400X
Provider Legal NameMR. ABBIN ETHAN CRANDELLCredential: RN, CDCES
Location Address19 RIVERDALE LNPalm Coast, FL 32164-3414
Mailing Address19 Riverdale LnPalm Coast, FL 32164-3414 · (904) 329-5140
Phone(904) 329-5140
Sole ProprietorNo
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1528825395 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in FL · RN9356329
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9356329 (FL)
19 RIVERDALE LN, Palm Coast, FL 32164
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528825395, enumerated as an "individual" on February 28, 2024.
The provider is located at 19 RIVERDALE LN PALM COAST, FL 32164 and the phone number is (904) 329-5140.
Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.
