Danijo Kathleen Crane, RN

Individual provider Active NPI Community Health Registered Nurse · Labelle, FL

NPI 1972067122 · NPPES record last updated Jan 22, 2019

Key facts

NPI
1972067122
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN9454821 (FL)
Practice address
450 S Main St
Labelle, FL 33935-4629
Phone
(863) 302-6054
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9454821FLMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN9454821 FL Yes

Addresses

Primary practice location

450 S Main St
Labelle, FL 33935-4629

Mailing address

504 Date St
Clewiston, FL 33440-3138

Other providers in Labelle, FL

All providers in Labelle, FL · Community Health Registered Nurse in Florida

Sources for this page

Verify at the official NPI Registry.