Basic Information
| Provider Information | |||||||||
| NPI: | 1588637912 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BIGGS | ||||||||
| FirstName: | CRAIGANN | ||||||||
| MiddleName: | MEHRMANN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSN CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1059 COLUMBIA AVE | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176033130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7173902589 | ||||||||
| FaxNumber: | 7172174218 | ||||||||
| Practice Location | |||||||||
| Address1: | 1059 COLUMBIA AVE | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176033130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7173902589 | ||||||||
| FaxNumber: | 7172176883 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2006 | ||||||||
| LastUpdateDate: | 05/13/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | UP001076G | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 417 | 01 | PA | CRNP PRESC AUTH LICENSE | OTHER | UP001076G | 01 | PA | LICENSE | OTHER | RN241163L | 01 | PA | RN LICENSE | OTHER |