Nisheda Crennel, LPN
Individual provider Active NPI Licensed Practical Nurse · Calverton, NY
NPI 1083464366 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1083464366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 349753-01 (NY)
- Practice address
- 129 Hill Cres
Calverton, NY 11933-1708 - Phone
- (631) 294-6455
- NPI assigned
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349753-01 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 349753-01 | NY | Yes |
Addresses
Primary practice location
129 Hill Cres
Calverton, NY 11933-1708
Mailing address
129 Hill Cres
Calverton, NY 11933-1708
Phone (631) 294-6455
Other providers in Calverton, NY
- Aid to Developmentally Disabled, Inc
- Ramel Anderson
- Catheryn Bianco
- Bright Star Occupational Therapy, PC
- Compassionate Hands Home Care Inc
- Desiree Simone Dalrymple
- VI Dao
- Marie Davis
- Ebdk at Calverton
- Ashleigh Kristin Gardner
All providers in Calverton, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.