Crockett, Linda Winston

Crockett, Linda Winston is an individual health care provider with primary practice located at 7041 Pacific Ave , Tacoma WA 98408-7220. She recently has 7 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crockett, Linda Winston can be contacted via phone (253) 474-2120.

Contact Information

Primary practice address
7041 Pacific Ave Tacoma WA 98408-7220
Phone: (253) 474-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP560A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006591 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006591 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP3006591 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP30006591 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30006591 Washington
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X AP30006591 Washington
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X AP30006591 Washington

Profile Details

NPI number 1386616837
LBN Legal business name Crockett, Linda Winston
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 31st, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386616837 NPPES
Idaho MEDICAID 806304700

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