Provider Demographics
NPI:1497461453
Name:CRADIT, DEMI VICTORIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:DEMI
Middle Name:VICTORIA
Last Name:CRADIT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DEMI
Other - Middle Name:VICTORIA
Other - Last Name:DOLLIHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4018 DELTA ROSE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-5068
Mailing Address - Country:US
Mailing Address - Phone:713-882-7810
Mailing Address - Fax:
Practice Address - Street 1:4018 DELTA ROSE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-5068
Practice Address - Country:US
Practice Address - Phone:713-882-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1094908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily