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Contact Information

LAURIE D CROCKETT, APRN
702 N 13TH ST
ARTESIA, NM88210-1166
 Phone: 575-746-3119
 Fax: 575-746-4295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LAURIE D CROCKETT · (Female)

NPI # 1700417136
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/04/2020
Last updated 09/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 59186
  • NM Medicaid 99702096
Hospital affiliation(s)
  • ARTESIA GENERAL HOSPITAL - (Acute Care)
    702 N 13TH STREET
    ARTESIA, NM 88210
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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