Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2010-00276 | NC |
N | 207V00000X | Obstetrician & Gynecologist | 57-012298 | OH |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 201400046 | NC |
NPI | 1104021559 |
---|---|
Provider Name | Dr. Andrea Kuntaraf Crane |
First Address | Raleigh, NC 27604-0010 |
Second Address | Raleigh, NC 27614-8496 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2007 |
Last Update Date | 19/02/2021 |