Doctor Name: | MRS. LINDA W CRAIG |
NPI Number: | 1134294838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN RN CS |
License Number: | 291456 |
Business Practice Address: | 101 Main St Suite #5 Cooperstown, NY - 13326 |
Business Phone Number: | 6075471130 |
Business Fax Number: | 6075471130 |
Mailing Address: | Po Box 1102, 101 Main St Suite #5 COOPERSTOWN |
State: | NY |
Postal Code: | 13326 |
Phone Number: | 6075471130 |
Fax Number: | 6075471130 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 291456 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |