Individual
MS. ANDREA MARIE CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6116 SHELBY RD, HERMANVILLE, MS 39086-9620
(601) 535-7937
(601) 535-7937
Mailing address
6116 SHELBY RD, HERMANVILLE, MS 39086-9620
(601) 535-7937
(601) 535-7937
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P316647
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770524
—
MS
01
—
P316647
NURSING LICENSE NUMBER
MS
Enumeration date
05/20/2007
Last updated
07/09/2007
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