Provider Demographics
NPI:1518654375
Name:CRAGO, CIARRA
Entity Type:Individual
Prefix:
First Name:CIARRA
Middle Name:
Last Name:CRAGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8355 EDGEMOOR DR W APT 205
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-4120
Mailing Address - Country:US
Mailing Address - Phone:740-285-9430
Mailing Address - Fax:
Practice Address - Street 1:176 RUSTIC DR APT 11
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1500
Practice Address - Country:US
Practice Address - Phone:740-285-9430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker