Individual
TRACI CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
345 STONE AVE, PARIS, TX 75460-9309
(903) 280-7716
Mailing address
345 STONE AVE, PARIS, TX 75460-2091
(903) 280-7716
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
763673
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720457609
—
TX
Enumeration date
09/21/2015
Last updated
09/07/2023
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