Crockett, Kamille Boston

Crockett, Kamille Boston is an sole proprietor health care provider with primary practice located at 757 W Telegraph St Ste 125 , Washington UT 84780-1533. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Crockett, Kamille Boston can be contacted via phone (702) 994-0598.

Contact Information

Primary practice address
757 W Telegraph St Ste 125 Washington UT 84780-1533
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 8059814-3102 Utah

Profile Details

NPI number 1336799956
LBN Legal business name Crockett, Kamille Boston
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2019
Last updated Sep 16th, 2019 - about 5 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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