Doctor Name: | MRS. MABLE KATHLEEN CRAFT |
NPI Number: | 1235285602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN0000139130 |
Business Practice Address: | 227 Cedar St Sevierville, TN - 378623838 |
Business Phone Number: | 8654561032 |
Business Fax Number: | 8654292689 |
Mailing Address: | 1929 Chapman Hwy, SEVIERVILLE |
State: | TN |
Postal Code: | 378762351 |
Phone Number: | 8659080581 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN0000139130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |