Healthcare Provider Details

I. General information

NPI: 1659249472
Provider Name (Legal Business Name): KREA MARSH STNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8739 DESOTO DR
CINCINNATI OH
45231-4409
US

IV. Provider business mailing address

8739 DESOTO DR
CINCINNATI OH
45231-4409
US

V. Phone/Fax

Practice location:
  • Phone: 513-510-6467
  • Fax:
Mailing address:
  • Phone: 513-510-6467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number602835200624
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number602835200624
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License NumberUG306040
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: