NPI | 1861561003 |
---|---|
Former Name | JOHN ERIC CRANMER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R163979) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007672) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2007-11-21 |