Individual
MS. HEIDI E CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 362-1291
(314) 362-4278
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1291
(314) 362-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
128685
MO
363LF0000X
Family Nurse Practitioner
209022460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429266208
—
MO
Enumeration date
07/14/2006
Last updated
11/18/2025
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