Healthcare Provider Details

I. General information

NPI: 1780107821
Provider Name (Legal Business Name): SHEILA MARIE CRAIG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 PENN AVE
WILKINSBURG PA
15221-2148
US

IV. Provider business mailing address

46 BELLANCA AVE
PITTSBURGH PA
15227-2404
US

V. Phone/Fax

Practice location:
  • Phone: 412-864-5327
  • Fax:
Mailing address:
  • Phone: 412-589-3476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number568339
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: