Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TANYA EZELL CROCKETT, APRN, CPNP-PC
ActiveMRS. TANYA EZELL CROCKETT, APRN, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in LOUISVILLE, Kentucky. NPI 1740564954 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · LOUISVILLE, KY
Registration Details
- NPI Number
- 1740564954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2011 (14.883581746004 yrs)
- Last Updated
- Feb 24, 2026
- License
-
3007181 (KY)
Practice Information
- Address
-
231 E CHESTNUT STLOUISVILLE, KY, 402021821Browse KY providers · Browse ZIP 40202
- Phone
- 5026294750
- Fax
- 5026294617
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| SHARON C METCALF | ARNP | 1639172554 |
| CHERYL RAE GRAHAM | ARNP | 1275531733 |
| ANGELA MARIE-SOLI SHINABERY | APRN | 1750379046 |
| MRS. DIANE H BURNETT | ARNP | 1669458774 |
| KELLIE WOODRUFF | APRN | 1013988351 |
| PATRICIA SEIBERT | PNP-C | 1154396174 |
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.