Individual
JOANNE L CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
1101 S. TERRACE DRIVE, PRESCOTT, AZ 86303
(509) 654-0980
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
155095
AZ
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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