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Charlaine Ann Crocker, RNFA

Registered Nurse, Registered Nurse First Assistant in Mansfield, TX. Individual provider (NPI-1).

NPI number1144769613
StatusActive
Last updated in NPPESFeb 16, 2017

Details

NPI
1144769613
Entity type
Individual (NPI-1)
Name
Ms. Charlaine Ann Crocker
Credential
RNFA
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 16, 2017
Last updated
Feb 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First Assistant443263TXYes

Practice location

3405 Vista Lake Cir
Mansfield, TX 76063-5835

Phone 817-239-6330

Mailing address

3405 Vista Lake Cir
Mansfield, TX 76063-5835

Phone 817-239-6330

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