Individual provider · Type 1 NPI
Charles Crocker, NP
Family Nurse Practitioner · Colonial Beach, VA
NPI number
1043095276
Active
Practice location
5 Irving Ave
Colonial Beach, VA 22443-2411
Mailing address
PO Box 275
Colonial Beach, VA 22443-0275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024180587 (VA) |
Family Nurse Practitioner: Definition to come...
About NPI 1043095276
Charles Crocker, NP's National Provider Identifier is 1043095276, issued on Aug 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Colonial Beach, VA. The record was last updated on Aug 28, 2023.