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Carla Jeanne Crockford, ARNP/PMHNP
Psychiatric/Mental Health Nurse Practitioner in Vancouver, Washington
NPI 1467478867

Carla Jeanne Crockford is a Psychiatric/Mental Health Nurse Practitioner based in Vancouver, WA and is specialized in Psychiatric/Mental Health. Carla Jeanne Crockford practices in Vancouver, WA and has the professional credentials of ARNP/PMHNP. The NPI Number for Carla Jeanne Crockford is 1467478867 and holds a License No. 200450092NP PMHNP-PP (Washington).

The current practice location address for Carla Jeanne Crockford is 1014 Main Street, Vancouver, WA and can be reached out via phone at 360-695-1014 and via fax at 360-750-1374. You can also correspond with Carla Jeanne Crockford through the mailing address at 1014 MAIN STREET, VANCOUVER, WA - 98661 (mailing address contact number: 360-695-1014).

Location: 1014 Main Street, Vancouver, WA, 98661
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Provider Profile Details
NPI Number
1467478867
Provider Name
Carla Jeanne Crockford
Credential
ARNP/PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1014 Main Street, Vancouver, WA, 98661
Phone Number
360-695-1014
Fax Number
360-750-1374
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
831447012 01 OR BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1014 Main Street
City
State
Zip
98661
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider Business Mailing Address Details
Address
1014 Main Street
City
State
Zip
98661
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200450092NP PMHNP-PP (Oregon)
Definition
Definition to come...
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