Provider Demographics
NPI:1922337252
Name:CRAIG, CHARICE KAMALE (RN)
Entity type:Individual
Prefix:
First Name:CHARICE
Middle Name:KAMALE
Last Name:CRAIG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7170 BOSTELMAN PL
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-7223
Mailing Address - Country:US
Mailing Address - Phone:937-670-9555
Mailing Address - Fax:
Practice Address - Street 1:7170 BOSTELMAN PL
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-7223
Practice Address - Country:US
Practice Address - Phone:937-670-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH398131163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)