Crystal Marie Berube, STNA
Individual provider Active NPI Nurse's Aide · Rossford, OH
NPI 1700653003 · NPPES record last updated Dec 6, 2023
Key facts
- NPI
- 1700653003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 602002410722 (OH)
- Practice address
- 448 Hillside Dr
Rossford, OH 43460-1002 - Phone
- (419) 277-5936
- NPI assigned
- Dec 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 602002410722 | OH | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 602002410722 | OH | Yes |
Addresses
Primary practice location
448 Hillside Dr
Rossford, OH 43460-1002
Mailing address
448 Hillside Dr
Rossford, OH 43460-1002
Phone (419) 277-5936
Other providers in Rossford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2023. 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.