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Ms. Carol L Crocker, FNP
Family Nurse Practitioner in Springfield, Oregon
NPI 1598964884

Carol L Crocker is a Family Nurse Practitioner based in Springfield, OR and is specialized in Family. Carol L Crocker practices in Springfield, OR and has the professional credentials of FNP. The NPI Number for Carol L Crocker is 1598964884 and holds a License No. 200450098NP (Oregon).

The current practice location address for Carol L Crocker is 500 Main St Ste A, Springfield, OR and can be reached out via phone at 541-505-0027.

Location: 500 Main St Ste A, Springfield, OR, 97477-2112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598964884
Provider Name
Carol L Crocker
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
500 Main St Ste A, Springfield, OR, 97477-2112
Phone Number
541-505-0027
Fax Number
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
027960 05 OR
institution
Provider Business Practice Location Address Details
Address
500 Main St Ste A
City
Springfield
State
Oregon
Zip
97477-5484
Phone Number
541-505-0027
Fax Number
person
Provider Business Mailing Address Details
Address
500 Main St Ste A
City
Springfield
State
Oregon
Zip
97477-5484
Phone Number
541-505-0027
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
200450098NP (Oregon)
Definition
Definition to come...
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