Active NPI
Brianna Cravero, CRNP, FNP-C
- Family Nurse Practitioner
- Port Deposit, MD
National Provider Identifier
1720802473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R264390
- Practice address
- 20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801 - Phone
- (410) 642-9172
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP029921 | PA | |
| Family Nurse Practitioner | 363LF0000X | R264390 | MD | Primary |
Addresses
Primary practice location
20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801
Mailing address
1590 Daws Rd
Blue Bell, PA 19422-3607
Other names 1
- Brianna Cravero del Collo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R264390 | MD | MD | Family Nurse Practitioner |
| SP029921 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1720802473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 DAWS RD",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CRAIGTOWN RD STE 101",
"city": "PORT DEPOSIT",
"state": "MD",
"postal_code": "219041801",
"telephone_number": "410-642-9172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVERO",
"first_name": "BRIANNA",
"credential": "CRNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP029921",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R264390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "CRAVERO DEL COLLO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Deposit, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.