Doctor Name: | CINNAMON TRAVIS CRAMER |
NPI Number: | 1639276702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.P.N.P. |
License Number: | 1-072359 |
Business Practice Address: | 123 E Capitol St Demopolis, AL - 367322218 |
Business Phone Number: | 3342899408 |
Business Fax Number: | 3342891160 |
Mailing Address: | 123 E Capitol St, DEMOPOLIS |
State: | AL |
Postal Code: | 367322218 |
Phone Number: | 3342899408 |
Fax Number: | 3342891160 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 1-072359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |