CRYSTAL TILLMAN
NPI 1942660691
Licensed Practical Nurse in Shelby Township, MI

Q: What is Crystal Tillman's NPI number?

The NPI number for Crystal Tillman is 1942660691. It was assigned to this individual provider in the NPPES registry on February 23, 2016.

Q: What is Crystal Tillman'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 Crystal Tillman was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 February 23, 2016

56550 HARTLEY DR W, SHELBY TOWNSHIP, MI 48316(586) 530-0488 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crystal Tillman NPPES

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

CRYSTAL TILLMAN (NPI 1942660691) is an individual licensed practical nurse in Shelby Township, Michigan, licensed in Michigan (4703101822) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1942660691

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCRYSTAL TILLMAN

Location Address56550 HARTLEY DR WShelby Township, MI 48316-5569

Mailing Address56550 Hartley Dr WShelby Township, MI 48316-5569 · (586) 530-0488

Phone(586) 530-0488

Sole ProprietorNo

Enumeration DateFebruary 23, 2016

✔ NPI 1942660691 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 MI · 4703101822

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.

56550 HARTLEY DR W, Shelby Township, MI 48316

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Tillman's NPI number?

The NPI number for Crystal Tillman is 1942660691. It was assigned to this individual provider in the NPPES registry on February 23, 2016.

Where is Crystal Tillman located?

Crystal Tillman practices at 56550 Hartley Dr W, Shelby Township, MI 48316. The listed phone number is (586) 530-0488.

What is Crystal Tillman's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Tillman was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.