Individual
ANN MARGARET CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
81 MAKAWAO AVE, MAKAWAO, HI 96768-8895
(808) 573-8900
(808) 572-3027
Mailing address
144 LANAKILA PL, KIHEI, HI 96753-8933
(808) 268-2876
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP CERTIFICATE 16849
CA
363LW0102X
Women's Health Nurse Practitioner
APRN
HI
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN763
HI
Other
Enumeration date
04/24/2007
Last updated
04/14/2014
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