Provider Demographics
NPI:1508127416
Name:CRANK, REANA R (HHA)
Entity Type:Individual
Prefix:
First Name:REANA
Middle Name:R
Last Name:CRANK
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 M ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2010
Mailing Address - Country:US
Mailing Address - Phone:443-913-9391
Mailing Address - Fax:
Practice Address - Street 1:1814 M ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2010
Practice Address - Country:US
Practice Address - Phone:443-913-9391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide