Provider Demographics
NPI:1205727757
Name:CHRISTMAS, CRIMZEN MCKELL
Entity type:Individual
Prefix:
First Name:CRIMZEN
Middle Name:MCKELL
Last Name:CHRISTMAS
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 1:118 PARK HILL DR
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-8979
Mailing Address - Country:US
Mailing Address - Phone:330-260-0797
Mailing Address - Fax:
Practice Address - Street 1:118 PARK HILL DR
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-8979
Practice Address - Country:US
Practice Address - Phone:330-260-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant