Provider Demographics
NPI:1457166811
Name:CRANFIELD, KAMALITA D (STNA)
Entity type:Individual
Prefix:
First Name:KAMALITA
Middle Name:D
Last Name:CRANFIELD
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11808 IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-1563
Mailing Address - Country:US
Mailing Address - Phone:216-534-0768
Mailing Address - Fax:
Practice Address - Street 1:21323 MILAN DR
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1866
Practice Address - Country:US
Practice Address - Phone:216-534-0768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty