Provider Demographics
NPI:1891094595
Name:HUNT, CRYSTAL LUCIA (LPN)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:LUCIA
Last Name:HUNT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6638 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3062
Mailing Address - Country:US
Mailing Address - Phone:513-376-9856
Mailing Address - Fax:
Practice Address - Street 1:6638 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3062
Practice Address - Country:US
Practice Address - Phone:513-376-9856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 141330164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN141330OtherOHIO BOARD OF NURSING