Provider Demographics
NPI:1568846863
Name:CRANE, BRIANNA (PA)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:CRANE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:321 BILLERICA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4100
Mailing Address - Country:US
Mailing Address - Phone:978-256-5557
Mailing Address - Fax:978-256-1835
Practice Address - Street 1:100 UNICORN PARK DR STE 102
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-3379
Practice Address - Country:US
Practice Address - Phone:781-722-0242
Practice Address - Fax:978-256-1835
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAPA5300363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant