| NPI | 1932710118 |
|---|---|
| Doing Business As | CAROL CROCKER FNP PC |
| Entity Type | Organization |
| Authorized Contact | CAROL CROCKER President 541-505-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-11-03 |