Individual provider · Type 1 NPI
Amanda Fisher Craddock
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY
NPI number
1275356206
Active
Practice location
199 Schenck Ave Ph 6
Brooklyn, NY 11207-4580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F406770-01 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 29243 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275356206
Amanda Fisher Craddock's National Provider Identifier is 1275356206, issued on Nov 7, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on May 5, 2026.