Healthcare Provider Details

I. General information

NPI: 1891752739
Provider Name (Legal Business Name): URSULA ANNE CRANE CNM, NP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 30TH ST SUITE 205
OAKLAND CA
94609-3424
US

IV. Provider business mailing address

1331 MASONIC AVE
SAN FRANCISCO CA
94117-4011
US

V. Phone/Fax

Practice location:
  • Phone: 510-444-0790
  • Fax:
Mailing address:
  • Phone: 415-710-2941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM1457
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: