Provider Demographics
NPI:1346308525
Name:ROWELL-CRANE, NANCY G (NP-C)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:G
Last Name:ROWELL-CRANE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 PARADISE COVE BLVD
Mailing Address - Street 2:
Mailing Address - City:MEXICO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32456-0156
Mailing Address - Country:US
Mailing Address - Phone:770-480-3256
Mailing Address - Fax:
Practice Address - Street 1:103 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:FL
Practice Address - Zip Code:32693-3247
Practice Address - Country:US
Practice Address - Phone:352-577-5252
Practice Address - Fax:352-329-4313
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA85782363L00000X
FLAPRN11008420363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I500919Medicare PIN