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Individual

JANET ELLEN CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-6807
Mailing address
1539 KENSINGTON AVE, SALT LAKE CITY, UT 84105-2803
(801) 487-4094

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
263084-NP6148
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
330051-4405
UT

Other

Enumeration date
12/31/2007
Last updated
08/31/2011
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