Individual
CODY CRAIGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(800) 899-8448
Mailing address
216 N 4TH ST STE 205, LAFAYETTE, IN 47901-1323
(765) 446-0170
(305) 929-0770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71008938A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008938A
IN
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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