Provider Demographics
NPI:1144557901
Name:CRANS, BRIAN ANDREW (LPN)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:ANDREW
Last Name:CRANS
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:NY
Mailing Address - Zip Code:14510-1204
Mailing Address - Country:US
Mailing Address - Phone:585-703-2714
Mailing Address - Fax:
Practice Address - Street 1:40 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:NY
Practice Address - Zip Code:14510-1204
Practice Address - Country:US
Practice Address - Phone:585-703-2714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292614164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse