Provider Demographics
NPI:1386438752
Name:CRENSHAW, DENEISHA NEKOLE
Entity type:Individual
Prefix:
First Name:DENEISHA
Middle Name:NEKOLE
Last Name:CRENSHAW
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-4926
Mailing Address - Country:US
Mailing Address - Phone:205-461-5801
Mailing Address - Fax:
Practice Address - Street 1:6280 BRIARWOOD LN
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-4926
Practice Address - Country:US
Practice Address - Phone:205-461-5801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty