Individual provider · Type 1 NPI

Shara Craddock Short

Psychiatric/Mental Health Nurse Practitioner · Hampton, VA

NPI number 1366045023 Active

Practice location

2208 Executive Dr
Hampton, VA 23666-6603

Mailing address

2202 Executive Dr Ste C
Hampton, VA 23666-6604

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024180538 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1366045023

Shara Craddock Short's National Provider Identifier is 1366045023, issued on Nov 17, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hampton, VA. The record was last updated on Apr 18, 2025.