Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 71003353A | IN |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 28133069A | IN |
NPI | 1043527856 |
---|---|
Provider Name | Melissa A Craig |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46278-1360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2010 |
Last Update Date | 04/02/2021 |