Provider Demographics
NPI:1861561003
Name:CRANMER, JOHN NUTTING (ARNP, CRNP, MPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:NUTTING
Last Name:CRANMER
Suffix:
Gender:M
Credentials:ARNP, CRNP, MPH
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:ERIC
Other - Last Name:CRANMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 34703
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124
Mailing Address - Country:US
Mailing Address - Phone:206-764-3335
Mailing Address - Fax:206-764-0489
Practice Address - Street 1:8720 14TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4807
Practice Address - Country:US
Practice Address - Phone:206-762-3730
Practice Address - Fax:206-764-8000
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR163979363LA2200X
WAAP30007672363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner