Organization
GRACE CONCIERGE AND WELLNESS SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATARA CRADDOCK FNP-BC (OWNER/OPERATOR)
(336) 245-8800
Entity
Organization
Contact information
Practice address
1100 S STRATFORD RD STE 524, WINSTON SALEM, NC 27103-3227
(336) 245-8800
(336) 717-0568
Mailing address
1100 S STRATFORD RD STE 524, WINSTON SALEM, NC 27103-3227
(336) 245-8800
(336) 717-0568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2025
Last updated
07/15/2026
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