Andrea Marie Craft in Hermanville - Licensed Practical Nurse
Andrea Marie Craft - NPI 1538377692
Andrea Marie Craft is a Licensed Practical Nurse in Hermanville, Mississippi. Andrea Marie Craft practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Andrea Marie Craft is 1538377692. The last update date is 2007-07-09.
Andrea Marie Craft's current location address is 6116 Shelby Rd, Hermanville, Mississippi. You can contact this provider via phone number 6015357937 and fax number 6015357937. The mailing address for Andrea Marie Craft is 6116 Shelby Rd, Hermanville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Marie Craft |
|---|---|
| Address | 6116 Shelby Rd, Hermanville, Mississippi |
| Phone Number | 6015357937 |
| Fax Number | 6015357937 |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1538377692 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6116 Shelby Rd |
|---|---|
| City | Hermanville |
| State | Mississippi (MS) |
| Post Code | 390869620 |
| Phone Number | 6015357937 |
| Fax Number | 6015357937 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | P316647 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770524 | MS | -- | |
| P316647 | MS | NURSING LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Andrea Marie Craft by the Centers for Medicare & Medicaid Services?
The Andrea Marie Craft has been issued the NPI (National Provider Identifier) 1538377692, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Andrea Marie Craft is physically located?
The Andrea Marie Craft is situated at the following address: 6116 Shelby Rd, Hermanville, MS 390869620.
What is Andrea Marie Craft's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Andrea Marie Craft is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.
When was the Andrea Marie Craft's 1538377692 issued?
The Andrea Marie Craft's 1538377692 was issued on 2007-05-20.
When was the information pertaining to Andrea Marie Craft most recently updated or revised?
The details related to Andrea Marie Craft, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.