Healthcare Provider Details

I. General information

NPI: 1427994011
Provider Name (Legal Business Name): GLYN CRAMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44217 8TH ST E
LANCASTER CA
93535-3865
US

IV. Provider business mailing address

44217 8TH ST E
LANCASTER CA
93535-3865
US

V. Phone/Fax

Practice location:
  • Phone: 661-839-6423
  • Fax:
Mailing address:
  • Phone: 661-839-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95202130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: