Healthcare Provider Details

I. General information

NPI: 1861561003
Provider Name (Legal Business Name): JOHN NUTTING CRANMER DNP, MPH, APRN, FAAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOHN ERIC CRANMER CRNP

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 14TH AVE S
SEATTLE WA
98108-4807
US

IV. Provider business mailing address

2 UNIVERSITY PLZ STE 204
HACKENSACK NJ
07601-6211
US

V. Phone/Fax

Practice location:
  • Phone: 206-762-3730
  • Fax: 206-764-8000
Mailing address:
  • Phone: 551-295-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30007672
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR163979
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: