Individual provider · Type 1 NPI

Latara K. Craddock, FNP-BC

Family Nurse Practitioner · Winston Salem, NC

NPI number 1942821152 Active

Practice location

2668 Peters Creek Pkwy
Winston Salem, NC 27127-5655

Call (336) 200-7020 Map

Mailing address

PO Box 746724
Atlanta, GA 30374-6724

Other practice locations

  • 3080 Trenwest Dr, Winston Salem, NC 27103-3208 · (336) 768-0496

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5013213 (NC)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1942821152

Latara K. Craddock, FNP-BC's National Provider Identifier is 1942821152, issued on Apr 28, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 26, 2024.