Provider Demographics
NPI:1417177767
Name:CERESINI, TAUNIA KRANTZ (CRNP)
Entity Type:Individual
Prefix:
First Name:TAUNIA
Middle Name:KRANTZ
Last Name:CERESINI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-2415
Mailing Address - Country:US
Mailing Address - Phone:717-721-7718
Mailing Address - Fax:717-721-7726
Practice Address - Street 1:136 LAKE ST
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-2415
Practice Address - Country:US
Practice Address - Phone:717-721-7718
Practice Address - Fax:717-721-7726
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP-003238-B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily