Individual provider · Type 1 NPI

Mariann M. Craddock, NP

Family Nurse Practitioner · Live Oak, TX

NPI number 1295019503 Active

Practice location

12881 N Ih 35
Live Oak, TX 78233-2966

Fax (732) 587-5486

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119

Other practice locations

  • 105 Falls Ct Ste 100, Boerne, TX 78006-2986 · (830) 249-3800

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X661440 (TX)
Family Nurse Practitioner Primary 363LF0000XAP120818 (TX)

Family Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1295019503

Mariann M. Craddock, NP's National Provider Identifier is 1295019503, issued on Oct 5, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Live Oak, TX. The record was last updated on Sep 29, 2025.