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Individual

FARAH GAIL CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1171 W TIPTON ST STE D, SEYMOUR, IN 47274-2794
(812) 524-8780
(812) 524-8746
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4867
(614) 722-4380

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28149810A
IN
363LP0200X
Pediatric Nurse Practitioner
NP.10034
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28149810A
INDIANA LICENSE
IN
05
2829818
OH
Enumeration date
06/21/2007
Last updated
10/13/2020
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