Individual
MISS BIANCA ANN KRANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
436 COLLINGTON DR, RONKONKOMA, NY 11779-5019
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309895
NY
363LP2300X
Primary Care Nurse Practitioner
F309895
NY
Other
Enumeration date
02/17/2022
Last updated
06/21/2022
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