Marian Elaine Cranford, PA

Key facts

NPI

1861975591

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

100143 (NC)

Practice address

101 Lorraine St
Carrboro, NC 27510-1117

Phone

(919) 619-3535

Fax

(919) 929-6911

NPI assigned

Sep 9, 2018

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Physician Assistant

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2018.

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1861975591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LORRAINE ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101117",
            "telephone_number": "919-619-3535",
            "fax_number": "919-929-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LORRAINE ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101117",
            "telephone_number": "919-619-3535",
            "fax_number": "919-929-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANFORD",
        "first_name": "MARIAN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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