Kamille Boston Crockett, FNP
Registered Nurse, Women's Health Care, Ambulatory in Washington, UT. Individual provider (NPI-1).
NPI number1336799956
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1336799956
- Entity type
- Individual (NPI-1)
- Name
- Kamille Boston Crockett
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2019
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WW0101X | Registered Nurse, Women's Health Care, Ambulatory | 8059814-3102 | UT | Yes |
Practice location
757 W Telegraph St Ste 125Washington, UT 84780-1533
Phone 702-994-0598
Mailing address
1731 W Bridge Pointe WaySt George, UT 84770-5040
Phone 702-994-0598
Other practice locations
4245 S Grand Canyon Dr Ste 100
Las Vegas, NV 89147-7164
Las Vegas, NV 89147-7164
Phone 702-994-0598
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