Alicia M Craddock in Marietta - Nurse Anesthetist, Certified Registered
Alicia M Craddock - NPI 1124283999
Alicia M Craddock is a Nurse Anesthetist, Certified Registered in Marietta, Georgia. Alicia M Craddock practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Alicia M Craddock is 1124283999. The last update date is 2020-05-22.
Alicia M Craddock's current location address is 2540 Windy Hill Rd Se, Marietta, Georgia. You can contact this provider via phone number 7706441274 and fax number 4238925838. The mailing address for Alicia M Craddock is 2540 Windy Hill Rd Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia M Craddock |
|---|---|
| Address | 2540 Windy Hill Rd Se, Marietta, Georgia |
| Phone Number | 7706441274 |
| Fax Number | 4238925838 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1124283999 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2020-05-22 |
Provider Mailing Address Detail
| Address | 2540 Windy Hill Rd Se |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300678605 |
| Phone Number | 7706441274 |
| Fax Number | 4238925838 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | APN000001360 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00770314 | TN | RAILROAD MEDICARE | |
| N480408 | GA | WELLCARE (GA MEDICAID) | |
| 8053486 | NC | -- | |
| 108083 | AL | -- | |
| 662969153A | GA | -- | |
| 4157214 | TN | BLUE CROSS BLUE SHIELD TN | |
| 1510651 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alicia M Craddock by the Centers for Medicare & Medicaid Services?
The Alicia M Craddock has been assigned the NPI (National Provider Identifier) 1124283999. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Alicia M Craddock located?
The Alicia M Craddock is located at 2540 Windy Hill Rd Se, Marietta, GA 300678605.
What is Alicia M Craddock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alicia M Craddock's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Alicia M Craddock receive the assignment of its 1124283999 from the Centers for Medicare & Medicaid Services?
The Alicia M Craddock was issued its 1124283999 by the Centers for Medicare & Medicaid Services on 2008-07-22.
As of what date were the Alicia M Craddock's details last updated?
The information pertaining to the Alicia M Craddock, including its address, specialty, and other details, was most recently updated on 2020-05-22.
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