Individual provider · Type 1 NPI
Kamille Boston Crockett, FNP
Ambulatory Women's Health Care Registered Nurse · Washington, UT
NPI number
1336799956
Active
Practice location
757 W Telegraph St Ste 125
Washington, UT 84780-1533
Mailing address
1731 W Bridge Pointe Way
St. George, UT 84770-5040
Other practice locations
- 4245 S Grand Canyon Dr Ste 100, Las Vegas, NV 89147-7164 · (702) 994-0598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Women's Health Care Registered Nurse Primary | 163WW0101X | 8059814-3102 (UT) |
Ambulatory Women's Health Care Registered Nurse: Definition to come...
About NPI 1336799956
Kamille Boston Crockett, FNP's National Provider Identifier is 1336799956, issued on Sep 16, 2019. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in Washington, UT. The record was last updated on Sep 16, 2019.