Healthcare Provider Details

I. General information

NPI: 1306687637
Provider Name (Legal Business Name): JULIA CRANSTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA RODRIAN

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9110 W MICHIGAN ST
MILWAUKEE WI
53226-4574
US

IV. Provider business mailing address

133 W OREGON ST APT 302
MILWAUKEE WI
53204-1483
US

V. Phone/Fax

Practice location:
  • Phone: 414-232-4204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1106067-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: