Crocker, Mikayla
Crocker, Mikayla is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Crocker, Mikayla can be contacted via phone (605) 755-1000.Contact Information
Primary practice address
353 Fairmont Blvd
Rapid City SD 57701-7375
Phone: (605) 755-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | CP002273 | South Dakota |
Profile Details
NPI number | 1942952817 |
---|---|
LBN Legal business name | Crocker, Mikayla |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 21st, 2022 |
Last updated | Jan 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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