Heidi E Craddock is a Family in Saint Louis, Missouri. Heidi E Craddock practices all healthcare services and medical treatments related to Family. The NPI Number for Heidi E Craddock is 1588680714. The last update date is 2021-11-15.
Heidi E Craddock's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3147473031 and fax number 3147479013. The mailing address for Heidi E Craddock is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heidi E Craddock |
|---|---|
| Address | 660 S Euclid Ave, Saint Louis, Missouri |
| Phone Number | 3147473031 |
| Fax Number | 3147479013 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1588680714 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2021-11-15 |
Provider Mailing Address Detail
| Address | 660 S Euclid Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631101010 |
| Phone Number | 3147473031 |
| Fax Number | 3147479013 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 128685 |
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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 |
|---|---|---|---|
| 429266208 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Heidi E Craddock by the Centers for Medicare & Medicaid Services (CMS)?
The Heidi E Craddock has been assigned the NPI (National Provider Identifier) 1588680714. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Heidi E Craddock is physically located?
The Heidi E Craddock is situated at the following address: 660 S Euclid Ave, Saint Louis, MO 631101010.
What is Heidi E Craddock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heidi E Craddock's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did Heidi E Craddock receive its 1588680714 assignment from the Centers for Medicare & Medicaid Services?
The Heidi E Craddock was assigned its 1588680714 on 2006-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Heidi E Craddock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Heidi E Craddock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-15.