Individual
BRIDGET R CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
112 BRANTLY ROAD, SEARCY, AR 72143-6113
(501) 268-6102
(501) 268-4445
Mailing address
112 BRANTLEY RD, SEARCY, AR 72143-8315
(501) 268-6102
(501) 268-4445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ATP-000160
AR
363LF0000X
Family Nurse Practitioner
Primary
A03144
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176018758
—
AR
Enumeration date
07/23/2008
Last updated
03/24/2016
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