Individual
BRIANA MICHELLE CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
411 E CHESTNUT ST # 7, LOUISVILLE, KY 40202-1713
(502) 588-9581
(502) 266-2632
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4009356
KY
Other
Enumeration date
09/11/2023
Last updated
09/27/2023
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