Provider Demographics
NPI:1467234393
Name:MCCRAW, ELAINE SY (NP)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:SY
Last Name:MCCRAW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 MCCRAW RD
Mailing Address - Street 2:
Mailing Address - City:LAMBSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24351-3077
Mailing Address - Country:US
Mailing Address - Phone:276-733-6530
Mailing Address - Fax:
Practice Address - Street 1:1212 MCCRAW RD
Practice Address - Street 2:
Practice Address - City:LAMBSBURG
Practice Address - State:VA
Practice Address - Zip Code:24351-3077
Practice Address - Country:US
Practice Address - Phone:276-733-6530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024188486363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner