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Wendell Craig, RN

Registered Nurse in Olive Hill, KY. Individual provider (NPI-1).

NPI number1760889596
StatusActive
Last updated in NPPESNov 21, 2014

Details

NPI
1760889596
Entity type
Individual (NPI-1)
Name
Mr. Wendell Craig
Credential
RN
Sex
Male
Sole proprietor
No
Enumeration date
Nov 21, 2014
Last updated
Nov 21, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse0001162813VAYes

Practice location

126 Serenity Ln
Olive Hill, KY 41164-6445

Phone 443-243-3738

Mailing address

126 Serenity Ln
Olive Hill, KY 41164-6445

Phone 443-243-3738

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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