Provider Demographics
NPI:1629360854
Name:STRAUSS, CRYSTAL LATOYA
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:LATOYA
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:LATOYA
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1337 KARAHILL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2253
Mailing Address - Country:US
Mailing Address - Phone:513-331-0151
Mailing Address - Fax:
Practice Address - Street 1:3600 PARK 42 DR STE 3650
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-4039
Practice Address - Country:US
Practice Address - Phone:855-229-2189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN369157163W00000X
OHAPRN.CNP.0036412363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse