Healthcare Provider Details

I. General information

NPI: 1114874591
Provider Name (Legal Business Name): CRANEXUS CRANIAL PROSTHESIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6991 E CAMELBACK RD STE D369
SCOTTSDALE AZ
85251-2432
US

IV. Provider business mailing address

4539 N 22ND ST STE N
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 480-930-3644
  • Fax:
Mailing address:
  • Phone: 480-930-3644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: TYUANA TURNER
Title or Position: FOUNDER
Credential:
Phone: 480-930-3644