Provider Demographics
NPI:1598847824
Name:CRAIG, PATRICIA ANN (FNP-BC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:CRAIG
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22326 EXPLORATION DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-2020
Mailing Address - Country:US
Mailing Address - Phone:443-279-7989
Mailing Address - Fax:
Practice Address - Street 1:22326 EXPLORATION DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-2020
Practice Address - Country:US
Practice Address - Phone:443-279-7989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 11325163WG0000X
TN11325163WG0000X
TNRN 120783163WG0000X
MDR271580363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN120783OtherRN LICENSE
TN11325OtherAPN LICENSE
MDR271580OtherRN
MDR271580OtherCRNP-FAMILY