Individual
MR. KRAIG LYNN PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NPC
Contact information
Practice address
3339 CHEROKEE LN, PROVO, UT 84604-4866
(801) 803-0877
Mailing address
3339 CHEROKEE LN, PROVO, UT 84604-4866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
115014
CO
363L00000X
Nurse Practitioner
261539-4405
UT
363LA2200X
Adult Health Nurse Practitioner
Primary
261539-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50634879
—
CO
Enumeration date
08/16/2005
Last updated
09/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us