Doctor Name: | MS. CINDY LOUISE CRADDOCK |
NPI Number: | 1538398425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 041-315296 |
Business Practice Address: | 7321 Balmer St Hill Afb, UT - 840565012 |
Business Phone Number: | 8015869594 |
Business Fax Number: | |
Mailing Address: | 7321 Balmer St, HILL AFB |
State: | UT |
Postal Code: | 840565012 |
Phone Number: | 8015869594 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2009 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 041-315296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |