Provider Demographics
NPI:1295192524
Name:CRABTREE, RENEE DIANE (STNA)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:DIANE
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 NEVIN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-4025
Mailing Address - Country:US
Mailing Address - Phone:330-714-4283
Mailing Address - Fax:
Practice Address - Street 1:889 NEVIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-4025
Practice Address - Country:US
Practice Address - Phone:330-714-4283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-17
Last Update Date:2016-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH365311830791E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide