Basic Information
| Provider Information | |||||||||
| NPI: | 1730205907 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CRANE | ||||||||
| FirstName: | SHARON | ||||||||
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| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3684 N RUSSELL RD | ||||||||
| Address2: | |||||||||
| City: | BLOOMINGTON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 474089217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8123314176 | ||||||||
| FaxNumber: | 8123314176 | ||||||||
| Practice Location | |||||||||
| Address1: | 6920 GATWICK DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462419504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3178562945 | ||||||||
| FaxNumber: | 3178565122 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 363L00000X | 71001606A | IN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.