Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIERRA N CROCKETT, MD
ActivePediatrics · POINT PLEASANT, WV
Registration Details
- NPI Number
- 1518302207
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2013 (13.015714852789 yrs)
- Last Updated
- Aug 22, 2016
- License
-
27014 (WV)
Practice Information
- Address
-
2801 JACKSON AVEPOINT PLEASANT, WV, 255501713Browse WV providers · Browse ZIP 25550
- Phone
- 3046754107
- Fax
- 3046754233
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in POINT PLEASANT, WV
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN FRANKLIN WILTZ | M.D. | 1144311028 |
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.