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General NPI Number Information
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NPI Number | 1184974552
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Entity Type | Individual
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Provider Name | ANDREA OLIVIA CRAIG APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 800 BEMIDJI AVE N
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City | BEMIDJI
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State | MN
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Zip | 56601-3054
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Country | US
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Telephone | 218-308-2400
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Fax | 651-431-7530
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Provider Business Mailing Address
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Address Line | 800 BEMIDJI AVE N
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City | BEMIDJI
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State | MN
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Zip | 56601-3054
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Country | US
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Telephone | 218-308-2400
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Fax | 651-431-7530
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3351
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 417
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License Number State | MN
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