Provider Demographics
NPI:1073842720
Name:CRAIG, CATHERINE (RDN, E-RYT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:CRAIG
Suffix:
Gender:F
Credentials:RDN, E-RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11692 W EMMER DR
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-8163
Mailing Address - Country:US
Mailing Address - Phone:520-237-9099
Mailing Address - Fax:
Practice Address - Street 1:11692 W EMMER DR
Practice Address - Street 2:
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85653-8163
Practice Address - Country:US
Practice Address - Phone:520-237-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ953367133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered