Individual
MS. TRAYDACIA KIARA PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNM, MSN
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
AC007293
MD
367A00000X
Advanced Practice Midwife
Primary
CNM500339641
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002288
—
DC
05
—
119591300
—
MD
Enumeration date
02/05/2024
Last updated
07/07/2026
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