Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanatha Crandall, LPN

Individual provider Licensed Practical Nurse · NPI 1205429875

Shanatha Crandall, LPN is a Licensed Practical Nurse in Millport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

58 New Rd
Millport, NY 14864-9764
Phone: (607) 259-6495
Fax: (607) 398-2064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 326639 (NY)

Record details

NPI number1205429875
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedFebruary 15, 2021
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021

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