Provider Demographics
NPI:1225461718
Name:TWOMBLY, CRAIG JAMES (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:JAMES
Last Name:TWOMBLY
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7452 SETTING SUN WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1257
Mailing Address - Country:US
Mailing Address - Phone:410-401-5485
Mailing Address - Fax:
Practice Address - Street 1:6785 BUSINESS PKWY
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6353
Practice Address - Country:US
Practice Address - Phone:410-401-5485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR183007163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse