Individual provider · Type 1 NPI
Virginia Crocker, GNP
Gerontology Nurse Practitioner · Powellsville, NC
NPI number
1356501423
Active
Practice location
105 Commerce St
Powellsville, NC 27967
Mailing address
PO Box 40
Powellsville, NC 27967-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 600104 (NC) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1356501423
Virginia Crocker, GNP's National Provider Identifier is 1356501423, issued on Jun 12, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Powellsville, NC. The record was last updated on Jun 12, 2008.