Davis, Crystal M.

Davis, Crystal M. is an sole proprietor health care provider with primary practice located at 8655 Market St , Mentor OH 44060-4112. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Crystal M. can be contacted via phone (440) 255-6400.

Contact Information

Primary practice address
8655 Market St Mentor OH 44060-4112
Phone: (440) 255-6400
Fax: (440) 255-3637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN356454 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0028984 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0028984 Ohio

Profile Details

NPI number 1194037341
LBN Legal business name Davis, Crystal M.
Credentials RN, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2010
Last updated Jul 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194037341 NPPES
Ohio MEDICAID 0474840

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