Provider Demographics
NPI:1619251980
Name:SCRANTON, ANNE T (CRNA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:T
Last Name:SCRANTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3998 FAIR RIDGE DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2921
Mailing Address - Country:US
Mailing Address - Phone:703-295-9360
Mailing Address - Fax:703-766-9725
Practice Address - Street 1:1301 W 22ND ST
Practice Address - Street 2:SUITE 610
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2006
Practice Address - Country:US
Practice Address - Phone:630-537-1720
Practice Address - Fax:847-615-2858
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2023-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL041284579163W00000X
IL209-009187364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL7200025Medicare PIN