Provider Demographics
NPI:1740096908
Name:CRENSHAW, REBEKAH G
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:G
Last Name:CRENSHAW
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 1:3720 NORTHFIELD RD APT 218
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5252
Mailing Address - Country:US
Mailing Address - Phone:216-440-7656
Mailing Address - Fax:
Practice Address - Street 1:3720 NORTHFIELD RD APT 218
Practice Address - Street 2:
Practice Address - City:HIGHLAND HILLS
Practice Address - State:OH
Practice Address - Zip Code:44122-5252
Practice Address - Country:US
Practice Address - Phone:216-440-7656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker