Mary Agnes Craddock is a Family in Tampa, Florida. Mary Agnes Craddock practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Agnes Craddock is 1417033317. The last update date is 2014-06-23.
Mary Agnes Craddock's current location address is 13000 Bruce B Downs Blvd, Tampa, Florida. You can contact this provider via phone number 8139722000. The mailing address for Mary Agnes Craddock is 13000 Bruce B Downs Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Agnes Craddock |
|---|---|
| Address | 13000 Bruce B Downs Blvd, Tampa, Florida |
| Phone Number | 8139722000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1417033317 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2014-06-23 |
Provider Mailing Address Detail
| Address | 13000 Bruce B Downs Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336124745 |
| Phone Number | 8139722000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ARNP3243012 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 307999600 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Agnes Craddock by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Agnes Craddock has been assigned the NPI (National Provider Identifier) 1417033317. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mary Agnes Craddock's facilities are geographically located?
The facilities of Mary Agnes Craddock are physically situated at the following location: 13000 Bruce B Downs Blvd, Tampa, FL, 336124745.
What is Mary Agnes Craddock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Agnes Craddock is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Mary Agnes Craddock receive its 1417033317 assignment from the Centers for Medicare & Medicaid Services?
The Mary Agnes Craddock was assigned its 1417033317 by the Centers for Medicare & Medicaid Services on 2006-10-31.
As of what date were the details related to Mary Agnes Craddock most recently updated or revised?
The information pertaining to Mary Agnes Craddock, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-23.