Provider Demographics
NPI:1851286561
Name:ARNOLD, CRYSTAL SHAWNTA (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:SHAWNTA
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 EASTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-1311
Mailing Address - Country:US
Mailing Address - Phone:216-785-9514
Mailing Address - Fax:216-242-8366
Practice Address - Street 1:121 EASTBROOK DR
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-1311
Practice Address - Country:US
Practice Address - Phone:216-785-9514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH521573163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty