| NPI | 1215365994 |
|---|---|
| Former Name | SHANNON CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998448-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 780390) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0998448-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 780390) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998448-NP) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2024-01-25 |