Individual
KERRI LYNN CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP, FNP-BC
Contact information
Practice address
4846 LARIMER PKWY, JOHNSTOWN, CO 80534-9012
(970) 624-2834
(970) 624-2835
Mailing address
4846 LARIMER PKWY, JOHNSTOWN, CO 80534-9012
(970) 624-2834
(970) 624-2835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1674643
CO
363L00000X
Nurse Practitioner
APN.0996569-NP
CO
363LF0000X
Family Nurse Practitioner
58099
NM
363LF0000X
Family Nurse Practitioner
Primary
APN.0996569-NP
CO
Other
Enumeration date
10/18/2019
Last updated
07/06/2021
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