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NPI Code Detail

MEDICARE: JULIE Z CRANTZ ARNP

MEDICARE: JULIE Z CRANTZ ARNP
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
1363LF0000XFamily Nurse PractitionerAP30003973WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1132323OTHERWALABOR & INDUSTRIES
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3CR7063OTHERREGENCE

General Provider Information

NPI Number : 1184601379
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE Z CRANTZ ARNP
Provider Business Mailing Address
First Line : 33501 1ST WAY S
Second Line :
City : FEDERAL WAY
State : WA
Zip : 98003-6208
Country : US
Telephone Number : 253-838-2400
Fax Number : 253-874-1637
Provider Business Practice Location Address
First Line : 33501 1ST WAY S
Second Line :
City : FEDERAL WAY
State : WA
Zip : 98003-6208
Country : US
Telephone Number : 253-838-2400
Fax Number : 253-874-1637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 06/30/2014

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