Provider Demographics
NPI:1487217253
Name:CRANOR, KATARZYNA ANNA
Entity Type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:ANNA
Last Name:CRANOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7923 KYLE WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-8929
Mailing Address - Country:US
Mailing Address - Phone:970-343-9820
Mailing Address - Fax:
Practice Address - Street 1:7155 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-3803
Practice Address - Country:US
Practice Address - Phone:303-487-7043
Practice Address - Fax:303-487-7050
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist