Crystal Renee Poland, RN

Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Byesville, OH

NPI 1497072672 · NPPES record last updated May 19, 2025

Key facts

NPI
1497072672
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
License
369443 (OH)
Practice address
209 Seneca Ave Ste a
Byesville, OH 43723-1364
Phone
(740) 685-0016
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
369443OHMDAddiction (Substance Use Disorder) Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 369443 OH Yes

Addresses

Primary practice location

209 Seneca Ave Ste a
Byesville, OH 43723-1364

Mailing address

3234 Clover Rd
Cumberland, OH 43732-9706
Phone (740) 260-4127

Other providers in Byesville, OH

All providers in Byesville, OH · Addiction (Substance Use Disorder) Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.