Provider Demographics
NPI:1255772240
Name:PETRANKER, OREN SKY (CRNA)
Entity type:Individual
Prefix:MR
First Name:OREN
Middle Name:SKY
Last Name:PETRANKER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 FAIRSTED DR APT 625
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4585
Mailing Address - Country:US
Mailing Address - Phone:917-543-8666
Mailing Address - Fax:
Practice Address - Street 1:400 FRYAR CREEK DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-5622
Practice Address - Country:US
Practice Address - Phone:917-543-8666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY599888-1163W00000X
NC304183367500000X
NC5875367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse