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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 7600 Ne 41St St Ste 203, Vancouver, WA and can be reached out via phone at 360-253-6425 and via fax at 360-253-3196.

Location: 7600 Ne 41St St Ste 203, Vancouver, WA, 98662-6772
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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
7600 Ne 41St St Ste 203, Vancouver, WA, 98662-6772
Phone Number
360-253-6425
Fax Number
360-253-3196
Provider Enumeration Date
07/15/2006
Last Update Date
11/16/2024
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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
7600 Ne 41St St Ste 203
City
State
Zip
98662-6772
Phone Number
360-253-6425
Fax Number
360-253-3196
person
Provider Business Mailing Address Details
Address
7600 Ne 41St St Ste 203
City
State
Zip
98662-6772
Phone Number
360-253-6425
Fax Number
360-253-3196
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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