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General NPI Number Information
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NPI Number | 1861738858
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Entity Type | Individual
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Provider Name | CRAIG HOWARD FNP
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Gender | Male
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 6235 RIVER CREST DR
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City | RIVERSIDE
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State | CA
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Zip | 92507-0788
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Country | US
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Telephone | 951-656-3153
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Fax | 951-656-4795
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Provider Business Mailing Address
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Address Line | 717 JOHN CIR
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City | CORONA
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State | CA
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Zip | 92879-8611
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Country | US
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Telephone | 951-340-3765
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Fax | 951-898-1537
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21306
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License Number State | CA
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