Individual provider · Type 1 NPI
Cortney Crocker, CPNP-PC
Pediatric Nurse Practitioner · Mancelona, MI
NPI number
1649636853
Active
Practice location
205 Grove St
Mancelona, MI 49659-8018
Fax (231) 587-9846
Mailing address
220 W Garfield Ave
Charlevoix, MI 49720-1631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2529 (HI) |
| Pediatric Nurse Practitioner | 363LP0200X | 2015039036 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704271709 (MI) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1649636853
Cortney Crocker, CPNP-PC's National Provider Identifier is 1649636853, issued on Jan 5, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mancelona, MI. The record was last updated on Jul 21, 2021.