Individual
TERRI CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-4235
Mailing address
14625 OLD VERMILLION DR, HUNTERSVILLE, NC 28078-5324
(704) 604-2376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
164242
NC
Other
Enumeration date
07/19/2006
Last updated
12/28/2020
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