MEDICARE: DR. PRANVERA KRAKOWER DNP

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
1	363LA2100X	Acute Care Nurse Practitioner	26NJ01374300	NJ

General Provider Information

NPI Number	:	1649987447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRANVERA KRAKOWER DNP

Provider Business Mailing Address
First Line	:	7A TOSCH AVE
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3030
Country	:	US
Telephone Number	:	973-870-1442
Fax Number	:

Provider Business Practice Location Address
First Line	:	7A TOSCH AVE
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3030
Country	:	US
Telephone Number	:	973-870-1442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	04/21/2026

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