Individual
MRS. SHARON BESCHE CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1807 HUGUENOT RD STE 117, MIDLOTHIAN, VA 23113-5604
(804) 506-0526
Mailing address
1807 HUGUENOT RD STE 117, MIDLOTHIAN, VA 23113-5604
(386) 258-6522
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024177585
VA
363LA2200X
Adult Health Nurse Practitioner
0024177585
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024177585
VA
Other
Enumeration date
07/22/2014
Last updated
09/16/2024
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