Tarah Elissa Cranick PA

  • NPI 1750471595
According to our database, the NPI number for Tarah Elissa Cranick PA is 1750471595 and activated since 17 years ago. Tarah Elissa Cranick PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 405 W Jackson St, Carbondale, IL 62901. You can also contact Tarah Elissa Cranick PA via telephone number is (618) 549-0721. Provider NPI information was last updated on 01/11/2021.

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Overview of Tarah Elissa Cranick PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/13/2006
  • Last updated: 01/11/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085003209
  • License State: IL

Provider Mailing Address

  • Address: Po Box 1105
    Indianapolis, IN 46206
  • Phone: 618-457-5200
  • Fax: 618-351-4821

Provider Practice Location

  • Address: 405 W Jackson St
    Carbondale, IL 62901
  • Phone: 618-549-0721
  • Fax: 618-457-0469

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085003209
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 3932056
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Tarah Elissa Cranick PA?
  • A: The npi number for Tarah Elissa Cranick PA is 1750471595.
  • Q: What are Tarah Elissa Cranick PA's specialties?
  • A: Tarah Elissa Cranick PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Tarah Elissa Cranick PA?
  • A: The medical license number for Tarah Elissa Cranick PA is 085003209 and issued in IL in USA.
  • Q: Where is Tarah Elissa Cranick PA practice location?
  • A: Tarah Elissa Cranick PA is practicing at 405 W Jackson St, Carbondale, IL 62901.
  • Q: How to contact Tarah Elissa Cranick PA?
  • A: You can contact Tarah Elissa Cranick PA via 618-549-0721.