| Organization Name: | ELAINE CRAIN LLC |
| NPI Number: | 1043532450 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELAINE M CRAIN (NURSE PRACTITIONER) |
| Mailing Address: | 31 Robinson Rd Severna Park |
| State: | MD US |
| Postal Code: | 211462841 |
| Phone Number: | 4105445900 |
| Fax Number: | 4105445939 |
| NPI Enumeration Date: | 02/26/2010 |
| NPI Last Update Date: | 02/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R124009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |