Crockett, Laurie Danielle
Crockett, Laurie Danielle is an individual health care provider with primary practice located at 702 N 13Th St , Artesia NM 88210-1166. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crockett, Laurie Danielle can be contacted via phone (575) 746-3119.Contact Information
Primary practice address
702 N 13Th St
Artesia NM 88210-1166
Phone: (575) 746-3119
Fax: (575) 746-4295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 59186 | New Mexico |
Profile Details
| NPI number | 1700417136 |
|---|---|
| LBN Legal business name | Crockett, Laurie Danielle |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2020 |
| Last updated | Sep 24th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700417136 | NPPES |
| New Mexico | MEDICAID | 99702096 |
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