Individual
SHELLY C. CRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-3611
(316) 262-0318
Mailing address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-3611
(316) 262-0318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-77054
KS
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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