Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Leak

Individual provider Licensed Practical Nurse · NPI 1467113100

Crystal Leak is a Licensed Practical Nurse in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

3540 Croton Aveenue
Cleveland, OH 44115
Phone: (216) 202-1017
Fax: (216) 361-1922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 164715 (OH)

Record details

NPI number1467113100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 4, 2022
Mailing address3540 Croton Ave, Cleveland, OH 44115-3212

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