Provider Demographics
NPI:1033792536
Name:KRANZ, MARGARET SCHOTT (PA-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:SCHOTT
Last Name:KRANZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:FENNIMORE
Other - Last Name:SCHOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-0119
Mailing Address - Country:US
Mailing Address - Phone:509-837-3933
Mailing Address - Fax:
Practice Address - Street 1:2303 REITH WAY
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-9521
Practice Address - Country:US
Practice Address - Phone:509-837-3933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA.PA.61147978363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant