Croker, Nancy

Croker, Nancy is an individual health care provider with primary practice located at Pmg Northside 5901 Harper Dr Ne, Albuquerque NM 87109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Croker, Nancy can be contacted via phone (505) 823-8888.

Contact Information

Primary practice address
Pmg Northside 5901 Harper Dr Ne Albuquerque NM 87109
Fax: (505) 823-8275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 89-21 New Mexico

Profile Details

NPI number 1740374115
LBN Legal business name Croker, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 14th, 2008 - about 17 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 1740374115 NPPES
New Mexico MEDICAID 14746

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