Basic Information
| Provider Information | |||||||||
| NPI: | 1417477571 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CRANE-MCCALLISTER | ||||||||
| FirstName: | ROBYN | ||||||||
| MiddleName: | ALYSSA | ||||||||
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| Credential: | MSN, NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3320 WOODS DR | ||||||||
| Address2: | |||||||||
| City: | MANHATTAN | ||||||||
| State: | KS | ||||||||
| PostalCode: | 665032131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9139481656 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 RESEARCH DR | ||||||||
| Address2: | |||||||||
| City: | MANHATTAN | ||||||||
| State: | KS | ||||||||
| PostalCode: | 665033049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855394644 | ||||||||
| FaxNumber: | 7855398010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2017 | ||||||||
| LastUpdateDate: | 06/20/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 77677 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.