Georgine Schaefer Craig, RN

Individual provider Active NPI Registered Nurse · Mansfield Center, CT

NPI 1962703397 · NPPES record last updated Nov 17, 2010

Key facts

NPI
1962703397
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
095191 (CT)
Practice address
189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone
(860) 456-1311
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
095191CTMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 095191 CT Yes

Addresses

Primary practice location

189 Storrs Rd
Mansfield Center, CT 06250-1683

Mailing address

329 Fitchville Rd
Bozrah, CT 06334-1005
Phone (860) 889-7286

Other providers in Mansfield Center, CT

All providers in Mansfield Center, CT · Registered Nurse in Connecticut

Sources for this page

Verify at the official NPI Registry.