Provider Demographics
NPI:1992851810
Name:KRANZ, JULIA CHRISTINE (RN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:CHRISTINE
Last Name:KRANZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:CHRISTINE
Other - Last Name:TERRILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:RAVENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:96123-0025
Mailing Address - Country:US
Mailing Address - Phone:530-251-8183
Mailing Address - Fax:530-251-2668
Practice Address - Street 1:1445 BUNYAN RD
Practice Address - Street 2:
Practice Address - City:SUSANVILLE
Practice Address - State:CA
Practice Address - Zip Code:96130-3142
Practice Address - Country:US
Practice Address - Phone:530-251-8183
Practice Address - Fax:530-251-2668
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA668329163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health