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General NPI Number Information
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NPI Number | 1487157707
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Entity Type | Individual
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Provider Name | ANDREA ESTHER CRAIGHEAD APN
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Gender | Female
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 627 24 1/2 RD STE F
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1277
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Country | US
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Telephone | 970-644-5013
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Fax | 970-658-1138
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Provider Business Mailing Address
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Address Line | 627 24 1/2 RD STE F
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1277
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Country | US
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Telephone | 970-644-5013
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Fax | 970-658-1138
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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 | AP11095
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0001390-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0995456-NP
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License Number State | CO
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