Individual
MS. MARY AGNES CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
653 WILLOW GROVE ST STE 2000, HACKETTSTOWN, NJ 07840-1789
(908) 441-7201
(908) 441-1292
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14889300
NJ
363LF0000X
Family Nurse Practitioner
ARNP3243012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307999600
—
FL
Enumeration date
10/31/2006
Last updated
07/14/2025
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