Provider Demographics
NPI:1841749256
Name:CRANE, ASHLE MAYME (DNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:ASHLE
Middle Name:MAYME
Last Name:CRANE
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4435 S LOREN VON DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-3839
Mailing Address - Country:US
Mailing Address - Phone:801-652-9398
Mailing Address - Fax:
Practice Address - Street 1:4435 S LOREN VON DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-3839
Practice Address - Country:US
Practice Address - Phone:801-652-9398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7422979-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care