National Provider Identifier Database

CANDY M CROCKETT, BSN, RN – NPI #1699594374
Diabetes Educator


Contact Information

CANDY M CROCKETT, BSN, RN
181 E MEDICAL TOWER DR
MURRAY, UT84107-4872
Phone: 801-314-4500
Fax: 801-314-2909
Website:
Specialty Taxonomy Code
* Diabetes Educator 163WD0400X

* Indicates primary specialty

NPI Profile & details for CANDY M CROCKETT

NPI Number 1699594374
Credentials BSN, RN
Entity Individual
Enumeration date 10/09/2024
Last updated 10/09/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • UT License #: 7036504-3102
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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