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Organization

GRACE CONCIERGE AND WELLNESS SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LATARA CRADDOCK FNP-BC (OWNER/OPERATOR)
(743) 236-2406
Entity
Organization

Contact information

Practice address
3410 HEALY DR STE 109, WINSTON SALEM, NC 27103-1403
(743) 236-2406
(336) 716-0568
Mailing address
3410 HEALY DR STE 109, WINSTON SALEM, NC 27103-1403
(743) 236-2406
(336) 716-0568

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
10/25/2025
Last updated
10/25/2025
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