Individual
THERESE M. CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-A
Contact information
Practice address
98 N BROADWAY STE 421, OCCUPATIONAL HEALTH SERVICES, JHH, BALTIMORE, MD 21231-1539
(410) 955-6211
(410) 955-1617
Mailing address
1305 BLAKEWOOD CT, DUNDALK, MD 21222-2868
(410) 477-1742
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R086529
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N41115
CDS REG. NO.
MD
Enumeration date
07/22/2005
Last updated
03/07/2023
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