Individual
KAMILLE BOSTON CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
757 W TELEGRAPH ST STE 125, WASHINGTON, UT 84780-1533
(702) 994-0598
Mailing address
1731 W BRIDGE POINTE WAY, ST GEORGE, UT 84770-5040
(702) 994-0598
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
8059814-3102
UT
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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