Healthcare Provider Details

I. General information

NPI: 1992305817
Provider Name (Legal Business Name): ANNMARIE CRAIG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNMARIE CRAIG CPCHCP

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W DARLEEN DR
FLAGSTAFF AZ
86001-0700
US

IV. Provider business mailing address

2900 W DARLEEN DR
FLAGSTAFF AZ
86001-0700
US

V. Phone/Fax

Practice location:
  • Phone: 928-225-8208
  • Fax: 928-440-3357
Mailing address:
  • Phone: 928-225-8208
  • Fax: 928-440-3357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberAZ03635
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 7
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 8
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 9
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 10
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL
# 11
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number20-V1-011
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: