Doctor Name: | MRS. ERICA SECRIST CRANE |
NPI Number: | 1932305943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNIM |
License Number: | 1181 |
Business Practice Address: | 10103 Ridgegate Pkwy Suite 306 Lone Tree, CO - 801245520 |
Business Phone Number: | 3032258120 |
Business Fax Number: | 3032258130 |
Mailing Address: | Po Box 705, INDIAN HILLS |
State: | CO |
Postal Code: | 804540705 |
Phone Number: | 5415171206 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 1181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |