MEDICARE: CRYSTAL LATOYA STRAUSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN369157	OH
2	363L00000X	Nurse Practitioner	APRN.CNP.0036412	OH

General Provider Information

NPI Number	:	1629360854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL LATOYA STRAUSS

Provider Business Mailing Address
First Line	:	1337 KARAHILL DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2253
Country	:	US
Telephone Number	:	513-331-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 PARK 42 DR STE 3650
Second Line	:
City	:	SHARONVILLE
State	:	OH
Zip	:	45241-4039
Country	:	US
Telephone Number	:	855-229-2189
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2011
Last Update Date	:	05/06/2025

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Directions to “ CRYSTAL LATOYA STRAUSS ” Practice Location

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