Individual
CAROL B CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1104 W HIGHWAY 30, GONZALES, LA 70737-5003
(225) 644-2100
(225) 644-5213
Mailing address
1104 W HIGHWAY 30, GONZALES, LA 70737-5003
(225) 644-2100
(225) 644-5213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN046542/AP03176
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1555576
—
IA
Enumeration date
07/26/2006
Last updated
07/08/2007
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