Individual provider · Type 1 NPI

Courtnie Lyn Crockett, PA-C

Physician Assistant · Peoria, AZ

NPI number 1962051797 Active

Practice location

6780 W Thunderbird Rd Ste A101
Peoria, AZ 85381-5049

Call (028) 431-9916 Map

Mailing address

10801 N 32nd St Apt 224
Phoenix, AZ 85028-3242

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7578 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962051797

Courtnie Lyn Crockett, PA-C's National Provider Identifier is 1962051797, issued on Sep 4, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, AZ. The record was last updated on Sep 14, 2021.