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1366045023
SHARA CRADDOCK SHORT
HAMPTON, VA
NPI
1366045023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024180538)
Enumeration Date
2020-11-17
Last Update Date
2025-03-19
Business Address
SHARA CRADDOCK SHORT
2208 EXECUTIVE DR
HAMPTON, VA 23666-6603
Phone number: 757-827-7707
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Mailing Address
SHARA CRADDOCK SHORT
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666-6604
Phone number: 757-827-7707
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