Individual
MS. CAMERON SUE CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
1400 E CHARLES RD, MARION, IN 46952-9298
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28189325A
IN
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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