Individual provider · Type 1 NPI

Tracy Lynn Crookston, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1295401511 Active

Practice location

80 Seymour Street, Hartford Hospital Surgery Dept
Hartford, CT 06102-8000

Call (860) 972-5022 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X005439 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1295401511

Tracy Lynn Crookston, PA-C's National Provider Identifier is 1295401511, issued on Aug 17, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Oct 21, 2021.