Individual
NICOLE J CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3288 ROBINHOOD RD STE 202, WINSTON SALEM, NC 27106-5464
(336) 209-5884
Mailing address
3288 ROBINHOOD RD STE 202, WINSTON SALEM, NC 27106-5464
(336) 768-3335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2004-01378
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13837
BLUE CROSS PROVIDER #
NC
01
—
2468828
UNITED HEALTHCARE
NC
05
—
5908891
—
NC
01
—
7280705
AETNA
NC
Enumeration date
06/20/2005
Last updated
01/10/2024
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