Provider Demographics
NPI:1295917433
Name:CRON, NATHAN DAVID (CPT, CNA, EMT)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:DAVID
Last Name:CRON
Suffix:
Gender:M
Credentials:CPT, CNA, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 BARTLETT ST APT 9
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3856
Mailing Address - Country:US
Mailing Address - Phone:415-608-2174
Mailing Address - Fax:
Practice Address - Street 1:390 BARTLETT ST APT 9
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3856
Practice Address - Country:US
Practice Address - Phone:415-608-2174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT16284246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy