TIM CRANDALL LPN
NPI 1912142464
Licensed Practical Nurse in Cheektowaga, NY

Q: What is Tim Crandall's NPI number?

The NPI number for Tim Crandall is 1912142464. It was assigned to this individual provider in the NPPES registry on December 12, 2008.

Q: What is Tim 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 Tim Crandall was last updated on December 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 December 12, 2008

1680 WALDEN AVE, CHEEKTOWAGA, NY 14225(716) 894-7777(716) 894-0604 Get Directions Write a Review

NPPES record last updated: December 12, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Tim Crandall Lpn NPPES

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

TIM CRANDALL LPN (NPI 1912142464) is an individual licensed practical nurse in Cheektowaga, New York, licensed in New York (275912) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1912142464

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameTIM CRANDALLCredential: LPN

Location Address1680 WALDEN AVECheektowaga, NY 14225-4914

Mailing Address7212 Hannum RdMayville, NY 14757-9764 · (716) 269-9423

Phone(716) 894-7777

Fax(716) 894-0604

Sole ProprietorNo

Enumeration DateDecember 12, 2008

✔ NPI 1912142464 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 · 275912

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.

1680 WALDEN AVE, Cheektowaga, NY 14225

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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.

JAYNE M KUCSERIK LPN

Licensed Practical Nurse