Individual
BEVERLY CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
5300 TALLMAN AVE NW, SEATTLE, WA 98107-3932
(206) 781-6344
Mailing address
5540 37TH AVE NE, SEATTLE, WA 98105-2202
(206) 518-0191
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
00073029
WA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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