NATHAN NOEL CRADDUCK
NPI 1376373290
Peer Specialist in Tulsa, OK
- Individual
- Male
- Peer Specialist
About NATHAN CRADDUCK
This page provides the complete NPI Profile along with additional information for Nathan Cradduck, a provider established in Tulsa, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1376373290 assigned on August 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1376373290 Verify this NPI
- Provider Name
- NATHAN NOEL CRADDUCK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 801 N MINGO RD TRLR 105 TULSA, OK 74116
- Location Phone
- (657) 649-6455
- Mailing Address
- 801 N MINGO RD TRLR 105 TULSA, OK 74116
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-05-2024
- Last Update Date
- 08-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376373290, enumerated as an "individual" on August 05, 2024.
The provider is located at 801 N MINGO RD TRLR 105 TULSA, OK 74116 and the phone number is (657) 649-6455.
Peer Specialist with taxonomy code 175T00000X.
