Individual
SANDRA JEAN CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13778 PLANTATION RD, FORT MYERS, FL 33912-4301
(239) 343-0454
(239) 343-1075
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0454
(239) 343-1075
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9249506
FL
363LF0000X
Family Nurse Practitioner
APRN9249506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102429100
—
FL
Enumeration date
03/27/2019
Last updated
08/15/2023
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