Provider Demographics
NPI:1932444973
Name:CRANAGE, SARINA (CRNA)
Entity Type:Individual
Prefix:
First Name:SARINA
Middle Name:
Last Name:CRANAGE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W HAMPDEN AVE
Mailing Address - Street 2:STE 600
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2330
Mailing Address - Country:US
Mailing Address - Phone:303-761-5646
Mailing Address - Fax:720-439-9500
Practice Address - Street 1:333 W HAMPDEN AVE
Practice Address - Street 2:STE 600
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2330
Practice Address - Country:US
Practice Address - Phone:303-761-5646
Practice Address - Fax:720-439-9500
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991238367500000X
PARN614934164W00000X
NY641580-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO32958765Medicaid
CO32958765Medicaid