Provider Demographics
NPI:1184956575
Name:CRAPSER, DUANE ELTON (LPN)
Entity type:Individual
Prefix:MR
First Name:DUANE
Middle Name:ELTON
Last Name:CRAPSER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 E CAYUGA ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-2349
Mailing Address - Country:US
Mailing Address - Phone:315-373-7458
Mailing Address - Fax:
Practice Address - Street 1:148 E CAYUGA ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2349
Practice Address - Country:US
Practice Address - Phone:315-373-7458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300287164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse