Crystal Renee Austin, LPN
Individual provider Active NPI Licensed Practical Nurse · Oregon, OH
NPI 1679873871 · NPPES record last updated Oct 22, 2010
Key facts
- NPI
- 1679873871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 130451-M-IV (OH)
- Practice address
- 929 Cardinal Bay Drive
Oregon, OH 43616-3480 - Phone
- (419) 697-6283
- NPI assigned
- Oct 22, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130451-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 130451-M-IV | OH | Yes |
Addresses
Primary practice location
929 Cardinal Bay Drive
Oregon, OH 43616-3480
Mailing address
929 Cardinal Bay Drive
Oregon, OH 43616-3480
Phone (419) 697-6283
Other providers in Oregon, OH
- Madison Ashbaugh
- Benjamin Scott Assenmacher
- Craig P Assenmacher
- Dennis R Assenmacher
- Joseph A Assenmacher
- Shawn K Backes
- Jordan Baer-Genson
- Sharon Ann Bailey
- Carrie Lynn Baker
- Travon Baker Sr.
All providers in Oregon, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.