Provider Demographics
NPI:1518674886
Name:CRONIN, JOY RENEE
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:RENEE
Last Name:CRONIN
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 1:11554 ZANE TRACE RD
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:OH
Mailing Address - Zip Code:43767-9764
Mailing Address - Country:US
Mailing Address - Phone:740-624-0478
Mailing Address - Fax:
Practice Address - Street 1:11554 ZANE TRACE RD
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:OH
Practice Address - Zip Code:43767-9764
Practice Address - Country:US
Practice Address - Phone:740-624-0478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant