Provider Demographics
NPI:1578533535
Name:KRANCER, PAMELA (APN)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:KRANCER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 210127
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-0127
Mailing Address - Country:US
Mailing Address - Phone:615-986-1256
Mailing Address - Fax:615-383-0853
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 319
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-986-1256
Practice Address - Fax:615-383-0853
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5184363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3905149Medicare ID - Type Unspecified
P16099Medicare UPIN