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Mrs. Latara K Craddock, FNP-BC
Family Nurse Practitioner in Winston Salem, North Carolina
NPI 1942821152

Latara K Craddock is a Family Nurse Practitioner based in Lexington, NC and is specialized in Family. Latara K Craddock practices in Winston Salem, NC and has the professional credentials of FNP-BC. The NPI Number for Latara K Craddock is 1942821152 and holds a License No. 2019095853 (North Carolina).

The current practice location address for Latara K Craddock is 3080 Trenwest Dr, Winston Salem, NC and can be reached out via phone at 336-768-0496.

Location: 3080 Trenwest Dr, Winston Salem, NC, 27295-7505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942821152
Provider Name
Latara K Craddock
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3080 Trenwest Dr, Winston Salem, NC, 27295-7505
Phone Number
336-768-0496
Fax Number
Provider Enumeration Date
04/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3080 Trenwest Dr
City
Winston Salem
State
North Carolina
Zip
27103-3208
Phone Number
336-768-0496
Fax Number
person
Provider Business Mailing Address Details
Address
3080 Trenwest Dr
City
Winston Salem
State
North Carolina
Zip
27103-3208
Phone Number
336-768-0496
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2019095853 (North Carolina)
Definition
Definition to come...
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