Provider Demographics
NPI:1881001550
Name:CRAMER, DONALD EUGENE JR (CRNP)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:EUGENE
Last Name:CRAMER
Suffix:JR
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N RADNOR CHESTER RD STE F200
Mailing Address - Street 2:
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5245
Mailing Address - Country:US
Mailing Address - Phone:610-202-3440
Mailing Address - Fax:215-484-0750
Practice Address - Street 1:150 N RADNOR CHESTER RD STE F200
Practice Address - Street 2:
Practice Address - City:RADNOR
Practice Address - State:PA
Practice Address - Zip Code:19087-5245
Practice Address - Country:US
Practice Address - Phone:610-202-3440
Practice Address - Fax:215-484-0750
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2024-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN529224L163W00000X
PASP013970363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse