MEDICARE: ASHLEY RENEE CRANE 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	363LF0000X	Family Nurse Practitioner	RN264721	MA

General Provider Information

NPI Number	:	1811506439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY RENEE CRANE DNP

Provider Business Mailing Address
First Line	:	50 MAPLE ST STE 301
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01103-1979
Country	:	US
Telephone Number	:	413-333-2064
Fax Number	:	413-273-1307

Provider Business Practice Location Address
First Line	:	50 MAPLE ST STE 301
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01103-1979
Country	:	US
Telephone Number	:	413-333-2064
Fax Number	:	866-920-7899

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

Provider Enumeration Date	:	07/29/2020
Last Update Date	:	06/01/2026

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