Provider Demographics
NPI:1932785623
Name:KRAIG, ALISON HELENE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:HELENE
Last Name:KRAIG
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:277 MAIN ST APT 226
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-8172
Mailing Address - Country:US
Mailing Address - Phone:216-403-3684
Mailing Address - Fax:
Practice Address - Street 1:590 N LEAVITT RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-1131
Practice Address - Country:US
Practice Address - Phone:440-282-7408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029283363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics