Individual provider · Type 1 NPI
Micayla Marie Crockett, NP
Family Nurse Practitioner · Mount Clemens, MI
NPI number
1144828088
Active
Practice location
1000 Harrington St
Mount Clemens, MI 48043-2920
Fax (586) 493-8799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704329743 (MI) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Mount Clemens
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About NPI 1144828088
Micayla Marie Crockett, NP's National Provider Identifier is 1144828088, issued on Oct 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Clemens, MI. The record was last updated on Sep 9, 2026.