MEDICARE: CRYSTAL M. DAVIS RN, APRN

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	RN356454	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0028984	OH
3	363LF0000X	Family Nurse Practitioner	APRN.CNP.0028984	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194037341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL M. DAVIS RN, APRN

Provider Business Mailing Address
First Line	:	3554 GLENCAIRN RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8655 MARKET ST
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-4112
Country	:	US
Telephone Number	:	440-255-6400
Fax Number	:	440-255-3637

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

Provider Enumeration Date	:	07/04/2010
Last Update Date	:	07/15/2022

Similar Medicare Providers

1093667594 — ERIC JON HEADLEY OTR/L, CHT
Practice Location Address:

8655 MARKET ST
MENTOR, OH
44060-4112

Practice Phone: 440-352-1200
Practice Fax: 440-255-3253

1174029599 — DR. WILLIAM HEIN DO
Practice Location Address:

8655 MARKET ST
MENTOR, OH
44060-4112

Practice Phone: 440-578-7587
Practice Fax:

1962026963 — HANNAH ANN REINHARD ATC
Practice Location Address:

8655 MARKET ST
MENTOR, OH
44060-4112

Practice Phone: 440-833-2010
Practice Fax:

1295402030 — HEATHER HULALI JACOB FNP-C
Practice Location Address:

8655 MARKET ST
MENTOR, OH
44060-4112

Practice Phone: 440-255-6400
Practice Fax: 440-255-3637

1245978873 — ELIZABETH JOY SWOPE C.N.P.
Practice Location Address:

8655 MARKET ST STE 140
MENTOR, OH
44060-4112

Practice Phone: 440-255-6400
Practice Fax: 440-255-3637

1063130722 — VICTORIA CELESTE RADEL PA-C
Practice Location Address:

8655 MARKET ST STE 200
MENTOR, OH
44060-4112

Practice Phone: 440-255-7938
Practice Fax:

Directions to “ CRYSTAL M. DAVIS RN, APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.