Individual
MISTY CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 627-7000
Mailing address
151 W WATERBURY RD APT D, INDIANAPOLIS, IN 46217-5538
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27049161A
IN
Other
Enumeration date
01/17/2008
Last updated
06/11/2024
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