MEDICARE: NEIKA NATOYA CROSSLEY-NELSON

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1891679973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIKA NATOYA CROSSLEY-NELSON

Provider Business Mailing Address
First Line	:	2632 SHERBROOKE RD UPPR 2632
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3741
Country	:	US
Telephone Number	:	803-928-0292
Fax Number	:	803-928-0292

Provider Business Practice Location Address
First Line	:	2632 SHERBROOKE RD UPPR 2632
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3741
Country	:	US
Telephone Number	:	803-928-0292
Fax Number	:	803-928-0292

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

Provider Enumeration Date	:	08/02/2025
Last Update Date	:	08/02/2025

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