KAMILLE BOSTON CROCKETT FNP NPI 1336799956

NPI Information

NPI: 1336799956
Provider Name: KAMILLE BOSTON CROCKETT, FNP
Classification: Registered Nurse - 163WW0101X
Entity Type: Individual

Specialization: Women's Health Care, Ambulatory

Address:
757 W TELEGRAPH ST STE 125
WASHINGTON, UT
ZIP 84780
Phone: (702) 994-0598
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Kamille Boston Crockett, FNP is a women's health care and ambulatory registered nurse in Washington, UT. Kamille Boston Crockett, FNP NPI is 1336799956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

757 W TELEGRAPH ST STE 125
WASHINGTON, UT
ZIP 84780-533
Phone: (702) 994-0598

The enumeration date for this NPI number is 9/16/2019 and was last updated on 9/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	8059814-3102	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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