Healthcare Provider Details

I. General information

NPI: 1255987582
Provider Name (Legal Business Name): ELIZABETH ANN CRABLE-MEANS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 08/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 W 8TH ST
CINCINNATI OH
45204-2052
US

IV. Provider business mailing address

4238 MATSON AVE
CINCINNATI OH
45236-2512
US

V. Phone/Fax

Practice location:
  • Phone: 513-357-2813
  • Fax:
Mailing address:
  • Phone: 513-608-6353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number368571
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: