Provider Demographics
NPI:1861823023
Name:CURRY, CRENELLA ROSETTA (STATE TESTED NURSING)
Entity Type:Individual
Prefix:MS
First Name:CRENELLA
Middle Name:ROSETTA
Last Name:CURRY
Suffix:
Gender:F
Credentials:STATE TESTED NURSING
Other - Prefix:
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Mailing Address - Street 1:6033 BEAR CREEK DR
Mailing Address - Street 2:527
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2974
Mailing Address - Country:US
Mailing Address - Phone:440-444-2575
Mailing Address - Fax:440-444-2575
Practice Address - Street 1:3566 E. 113 UNION STREET
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105
Practice Address - Country:US
Practice Address - Phone:216-376-3617
Practice Address - Fax:216-761-5793
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH400929190609376K00000X
OH33.021945 C-D225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist