MEDICARE: DR. NATHANIEL CRANNEY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	1367	NE

General Provider Information

NPI Number	:	1578975009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHANIEL CRANNEY D.O.

Provider Business Mailing Address
First Line	:	3687 VETERANS DR
Second Line	:
City	:	FORT HARRISON
State	:	MT
Zip	:	59636-9700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 THREE BEARS DR
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-7171
Country	:	US
Telephone Number	:	406-442-6410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2014
Last Update Date	:	02/06/2026

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