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Maryliz Crockett

Registered Nurse, School in Mitchell, SD. Individual provider (NPI-1).

NPI number1902255698
StatusActive
Last updated in NPPESJun 3, 2016

Details

NPI
1902255698
Entity type
Individual (NPI-1)
Name
Maryliz Crockett
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 3, 2016
Last updated
Jun 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WS0200X Registered Nurse, SchoolR024581SDYes

Practice location

110 N Mentzer St
Mitchell, SD 57301-8001

Phone 605-995-3021

Mailing address

110 N Mentzer St
Mitchell, SD 57301-8001

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Other School Registered Nurse providers in Mitchell, SD

All 5 School Registered Nurse providers in Mitchell · All 536 providers in Mitchell

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