Sandra E Crow, LPN
Individual provider Active NPI Licensed Practical Nurse · Daytona Beach, FL
NPI 1528028339 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1528028339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN 553141 (FL)
- Practice address
- 1845 Holsonback Dr
Daytona Beach, FL 32117-5114 - Phone
- (386) 274-0790
- Fax
- (386) 274-0800
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| PN 553141 | FL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Dept. of Health | Past | Accepting new patients | |
| Florida Department of Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 553141 | FL | Yes |
Addresses
Primary practice location
1845 Holsonback Dr
Daytona Beach, FL 32117-5114
Mailing address
PO Box 9190
Daytona Beach, FL 32120-9190
Phone (386) 274-0790
Other providers in Daytona Beach, FL
- Alexandra Crossman
- Margaret Crossman
- Crouch & Dunn MD LLC
- Eugene Marion Crouch
- Julie Crouch
- Desirae Anne Crowell
- Kristin Crumbley
- Natalia Cruz Alvarez
- Roberto Antonio Cruz Barahona
- Grace Cruz
All providers in Daytona Beach, FL · Licensed Practical Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.