Individual provider · Type 1 NPI

Mary Craddock

Licensed Practical Nurse · Tyler, TX

NPI number 1194436790 Active

Practice location

9846 Hwy 31 E
Tyler, TX 75705-2329

Call (903) 525-3995 Map

Fax (903) 525-3858

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X165013 (TX)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1194436790

Mary Craddock's National Provider Identifier is 1194436790, issued on Dec 6, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tyler, TX. The record was last updated on Dec 6, 2022.