Individual
MRS. HOLLY L. CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
141 S BLACK HORSE PIKE STE 104, BLACKWOOD, NJ 08012-2958
(856) 292-8216
(856) 848-3011
Mailing address
141 S BLACK HORSE PIKE STE 104, BLACKWOOD, NJ 08012-2958
(856) 292-8216
(856) 848-3011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG0000584
DE
363LF0000X
Family Nurse Practitioner
Primary
26NJ00451600
NJ
363LF0000X
Family Nurse Practitioner
LG-0000584
DE
363LF0000X
Family Nurse Practitioner
SP008042
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393011
—
NJ
Enumeration date
03/03/2008
Last updated
03/17/2015
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