Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MARIANN M CRADDOCK
Active
Individual
MARIANN M CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
661440
TX
363LF0000X
Family Nurse Practitioner
Primary
AP120818
TX
Other
Enumeration date
10/05/2011
Last updated
09/29/2025
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