Craddock, Margaret
Craddock, Margaret is an individual health care provider with primary practice located at 345 Clyde Morris Blvd Ste 490 , Ormond Beach FL 32174-3114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Craddock, Margaret can be contacted via phone (386) 672-3933.Contact Information
Primary practice address
345 Clyde Morris Blvd Ste 490
Ormond Beach FL 32174-3114
Phone: (386) 672-3933
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 9265443 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9265443 | Florida |
Profile Details
NPI number | 1154712941 |
---|---|
LBN Legal business name | Craddock, Margaret |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2015 |
Last updated | Sep 23rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154712941 | NPPES |
Florida | MEDICAID | 110834400 |
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