Individual provider · Type 1 NPI

Mary Agnes Craddock, ARNP

Family Nurse Practitioner · Hackettstown, NJ

NPI number 1417033317 Active

Practice location

653 Willow Grove St Ste 2000
Hackettstown, NJ 07840-1789

Fax (908) 441-1292

Mailing address

PO Box 416457
Boston, MA 02241-6457

Other practice locations

  • 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 · (813) 972-2000
  • 2 N Village Blvd Ste 2A, Sparta, NJ 07871-3592 · (908) 441-7201

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ14889300 (NJ)
Family Nurse Practitioner 363LF0000XARNP3243012 (FL)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1417033317

Mary Agnes Craddock, ARNP's National Provider Identifier is 1417033317, issued on Oct 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hackettstown, NJ. The record was last updated on Jul 14, 2025.