Individual
AMY DAWN CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1014 N ST, BRIDGEPORT, NE 69336-0101
(308) 763-1384
Mailing address
PO BOX 101, BRIDGEPORT, NE 69336-0101
(308) 763-1384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22962
NE
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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