Provider Demographics
NPI:1184953770
Name:CROOKS, MEGHAN MALONEY
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MALONEY
Last Name:CROOKS
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 1:13243 SPRUCE RUN DR
Mailing Address - Street 2:APARMENT #104
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-4293
Mailing Address - Country:US
Mailing Address - Phone:440-476-9006
Mailing Address - Fax:
Practice Address - Street 1:16604 SOUTHLAND AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-2948
Practice Address - Country:US
Practice Address - Phone:216-469-2947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.354547163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse