Basic Information
| Provider Information | |||||||||
| NPI: | 1598847824 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CRAIG | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8212 S. MARCH POINT RD. | ||||||||
| Address2: | |||||||||
| City: | ANACORTES | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982218684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605882800 | ||||||||
| FaxNumber: | 3605882808 | ||||||||
| Practice Location | |||||||||
| Address1: | 8212 S. MARCH POINT RD. | ||||||||
| Address2: | |||||||||
| City: | ANACORTES | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982218684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605882800 | ||||||||
| FaxNumber: | 3605882808 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2006 | ||||||||
| LastUpdateDate: | 09/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WG0000X | APN 11325 | TN | N | Nursing Service Providers | Registered Nurse | General Practice | 163WG0000X | 11325 | TN | N | Nursing Service Providers | Registered Nurse | General Practice | 163WG0000X | RN 120783 | TN | N | Nursing Service Providers | Registered Nurse | General Practice | 363LF0000X | AP60056892 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 11325 | 01 | TN | APN LICENSE | OTHER | 120783 | 01 | TN | RN LICENSE | OTHER | MC1395284 | 01 | TN | DEA LICENSE | OTHER |