Provider Demographics
NPI:1619414927
Name:KRANTZ, TONI R (RN MSN WCC)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:R
Last Name:KRANTZ
Suffix:
Gender:F
Credentials:RN MSN WCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 HARLEY DR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-4354
Mailing Address - Country:US
Mailing Address - Phone:608-843-9479
Mailing Address - Fax:
Practice Address - Street 1:2321 HARLEY DR
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-4354
Practice Address - Country:US
Practice Address - Phone:608-843-9479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164614163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse