National Provider Identifier

Elizabeth Ann Craddock

Elizabeth Ann Craddock is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 527-9862.

NPI 1659518249Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1659518249
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 19, 2009
Last Updated
January 19, 2009

Practice Location

  • 197 Elmdorf Ave
  • Rochester, NY 14619-1849

Phone: (585) 527-9862

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1659518249
Entity Type
Individual
Last Name
Craddock
First Name
Elizabeth
Middle Name
Ann
Mailing Street Address
197 Elmdorf Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1849
Mailing Country
US
Mailing Phone
(585) 527-9862
Practice Street Address
197 Elmdorf Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1849
Practice Country
US
Practice Phone
(585) 527-9862
Enumeration Date
January 19, 2009
Last Updated
January 19, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)