Provider Demographics
NPI:1790470615
Name:CRAFT, ONEYKIA AMERIA
Entity Type:Individual
Prefix:
First Name:ONEYKIA
Middle Name:AMERIA
Last Name:CRAFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ONYKIA
Other - Middle Name:
Other - Last Name:CRAFT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:110 W GRANT ST APT 14E
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2312
Mailing Address - Country:US
Mailing Address - Phone:612-282-5456
Mailing Address - Fax:
Practice Address - Street 1:110 W GRANT ST APT 14E
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2312
Practice Address - Country:US
Practice Address - Phone:612-282-5456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6074374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty