Provider Demographics
NPI:1578975009
Name:CRANNEY, NATHANIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:
Last Name:CRANNEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 411 BOX 2791
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112-0028
Mailing Address - Country:US
Mailing Address - Phone:801-341-0529
Mailing Address - Fax:
Practice Address - Street 1:ROSE BARRACKS, BUILDING 260
Practice Address - Street 2:
Practice Address - City:VILSECK
Practice Address - State:BAYERN
Practice Address - Zip Code:92249
Practice Address - Country:DE
Practice Address - Phone:063-719-4642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1367207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine