MEDICARE: MATTHEW SPENCER KRANE RN

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	163WC0200X	Critical Care Medicine Registered Nurse	1700513	CO

General Provider Information

NPI Number	:	1649111295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW SPENCER KRANE RN

Provider Business Mailing Address
First Line	:	410 DELAWARE ST APT 205
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-5144
Country	:	US
Telephone Number	:	503-515-2248
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 DELAWARE ST APT 205
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-5144
Country	:	US
Telephone Number	:	503-515-2248
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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