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Individual

MRS. PHYLIS BRINKMAN CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-1161
(352) 846-1029
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-1161
(352) 846-1029

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
730652
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP730652
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002799700
FL
Enumeration date
04/19/2006
Last updated
11/29/2010
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