Individual
SUMMER M CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2010 OLD WEST CHESTER PIKE, SUITE 330, HAVERTOWN, PA 19083
(610) 789-8070
(610) 789-9937
Mailing address
PO BOX 8500-4066, PHILADELPHIA, PA 19178-0001
(302) 733-0806
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN567789
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN567789
RN567789
PA
Enumeration date
02/27/2008
Last updated
02/27/2008
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