Individual
MRS. ALISA ROCHELLE CRADDOCK
Active
Individual
MRS. ALISA ROCHELLE CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178364
NC
363LF0000X
Family Nurse Practitioner
Primary
F02241056
NC
Other
Enumeration date
02/23/2010
Last updated
10/04/2024
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