Pamela R Craddock, CNM
Individual provider Active NPI Midwife · Terre Hill, PA
NPI 1942497300 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1942497300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- MW008479L (PA)
- Practice address
- 214 College Ave
Terre Hill, PA 17581 - Phone
- (717) 445-5940
- Fax
- (717) 445-5251
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW008479L | PA | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW008479L | PA | Yes |
Addresses
Primary practice location
214 College Ave
Terre Hill, PA 17581
Mailing address
PO Box 728
Terre Hill, PA 17581-0728
Phone (717) 445-5940
Other providers in Terre Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.