Provider Demographics
NPI:1962159210
Name:CRAIG, SONJA DIONE (CRNP FNP-BC)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:DIONE
Last Name:CRAIG
Suffix:
Gender:F
Credentials:CRNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7180 PINE MOUNTAIN CIR
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-1135
Mailing Address - Country:US
Mailing Address - Phone:205-514-5946
Mailing Address - Fax:
Practice Address - Street 1:1664 FORESTDALE BLVD
Practice Address - Street 2:
Practice Address - City:FORESTDALE
Practice Address - State:AL
Practice Address - Zip Code:35214-2042
Practice Address - Country:US
Practice Address - Phone:205-514-5946
Practice Address - Fax:205-791-9753
Is Sole Proprietor?:No
Enumeration Date:2022-03-07
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-150701363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily