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Individual

HOLLY CRAYCRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
125 FOXGLOVE DR STE B, MT STERLING, KY 40353-9735
(859) 520-9292
(859) 520-9004
Mailing address
125 FOXGLOVE DR STE 1, MOUNT STERLING, KY 40353-9735

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4016703
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100965230
KY
Enumeration date
03/11/2024
Last updated
10/02/2024
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