Kamille Boston Crockett, FNP is a
Registered Nurse - Women's Health Care, Ambulatory based in Washington, Utah. Kamille Boston Crockett is licensed to practice in Utah (license number 8059814-3102) and her current practice location is
757 W Telegraph St Ste 125, Washington, Utah. She can be reached at her office (for appointments etc.) via phone at
(702) 994-0598.
NPI number for Kamille Boston Crockett is 1336799956 and her current mailing address is 1731 W Bridge Pointe Way, St George, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336799956.
Provider's Profile
Full Name | Kamille Boston Crockett |
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Gender | Female |
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Speciality | Registered Nurse - Women's Health Care, Ambulatory |
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Location | 757 W Telegraph St Ste 125, Washington, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336799956
- Provider Enumeration Date: 09/16/2019
- Last Update Date: 09/16/2019
Medical Identifiers
Medical identifiers for Kamille Boston Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336799956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 8059814-3102 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamille Boston Crockett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kamille Boston Crockett, FNP 1731 W Bridge Pointe Way, St George, UT 84770-5040 Ph: (702) 994-0598 | Kamille Boston Crockett, FNP 757 W Telegraph St Ste 125, Washington, UT 84780-1533 Ph: (702) 994-0598 |
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