Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAMILLE BOSTON CROCKETT, FNP
Active Sole ProprietorWound, Ostomy and Continence Nurse · WASHINGTON, UT
Registration Details
- NPI Number
- 1336799956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2019 (6.5993022505709 yrs)
- Last Updated
- Sep 16, 2019
- License
-
8059814-3102 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
757 W TELEGRAPH ST STE 125WASHINGTON, UT, 847801533Browse UT providers · Browse ZIP 84780
- Phone
- 7029940598
- Primary Specialty
-
Wound, Ostomy and Continence Nurse
163WW0101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.