# PATRICK G NORTHCRAFT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982684676
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024165477 | VA | Yes |
| 363LF0000X | Family Nurse Practitioner | 60297 | WV | — |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 01/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1982684676 | — | VA |
| 05 | — | 7103226000 | — | WV |
| 01 | — | P00657228 | MEDICARE RR | VA |