Provider Demographics
NPI:1497591424
Name:CRAIG, ALEXANDRIA K (CRNP)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:K
Last Name:CRAIG
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:K
Other - Last Name:KNIGGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-0626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 626
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-0626
Practice Address - Country:US
Practice Address - Phone:256-332-6208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-176293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily