Individual provider · Type 1 NPI

Angelica Craddock

Licensed Practical Nurse · Spring Valley, NY

NPI number 1891685780 Active

Practice location

42 N Main St
Spring Valley, NY 10977-4906

Mailing address

3329 Bouck Ave
Bronx, NY 10469-2919

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X351665 (NY)

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 1891685780

Angelica Craddock's National Provider Identifier is 1891685780, issued on Jul 3, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Spring Valley, NY. The record was last updated on Jul 3, 2025.