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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063188555

Mirrisa Crenshaw is a Student in an Organized Health Care Education/Training Program in Xenia, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
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Practice location Address checks out

452 W Market St
Xenia, OH 45385-2815
Phone: (937) 376-8700
Fax: (937) 376-8725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence S2101902-TRNE (OH)

Record details

NPI number1063188555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 17, 2021
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021
Mailing address452 W Market St, Xenia, OH 45385-2815

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