Provider Demographics
NPI:1528934726
Name:CRUMPLEY, PATRICIA RENEE
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:RENEE
Last Name:CRUMPLEY
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 1:6786 DUTCHVIEW CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-3200
Mailing Address - Country:US
Mailing Address - Phone:513-690-0038
Mailing Address - Fax:
Practice Address - Street 1:6786 DUTCHVIEW CT
Practice Address - Street 2:
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-3200
Practice Address - Country:US
Practice Address - Phone:513-690-0038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant