Craft, Andrea Marie

Craft, Andrea Marie is an sole proprietor health care provider with primary practice located at 6116 Shelby Rd , Hermanville MS 39086-9620. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Craft, Andrea Marie can be contacted via phone (601) 535-7937.

Contact Information

Primary practice address
6116 Shelby Rd Hermanville MS 39086-9620
Phone: (601) 535-7937
Fax: (601) 535-7937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P316647 Mississippi

Profile Details

NPI number 1538377692
LBN Legal business name Craft, Andrea Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538377692 NPPES
Mississippi MEDICAID 00770524
Mississippi Other P316647

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