Individual provider · Type 1 NPI

Dawn Marie Craddock, FNP-C

Nurse Practitioner · Pontiac, MI

NPI number 1174043020 Active

Practice location

461 W Huron St Ste 406
Pontiac, MI 48341-1601

Mailing address

PO Box 182433
Shelby Township, MI 48318-2433

Other practice locations

  • 2301 S Huron Pkwy Ste 1D, Ann Arbor, MI 48104-5133 · (586) 229-7812
  • 33053 Meadowlark St, Farmington, MI 48336-5068 · (248) 982-8260

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4704284552 (MI)
Nurse Practitioner Primary 363L00000X4704284552 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174043020

Dawn Marie Craddock, FNP-C's National Provider Identifier is 1174043020, issued on Jun 22, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pontiac, MI. The record was last updated on Nov 7, 2023.