Individual
KATHLEEN M CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
333 N 1ST ST., #280, BOISE, ID 83702
(208) 345-6545
(208) 345-1213
Mailing address
333 N 1ST ST., #280, BOISE, ID 83702
(208) 345-6545
(208) 345-1213
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
N-16173
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010027660
BLUE SHIELD
ID
01
—
54338
BLUE CROSS
ID
Enumeration date
05/18/2006
Last updated
07/08/2007
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