Mrs Mindy Louise Crookham, NP is a
Nurse Practitioner - Family based in Palo Cedro, California. Mrs Mindy Louise Crookham is licensed to practice in California (license number NP14207) and her current practice location is
10622 Petunia Ln, Suite D, Palo Cedro, California. She can be reached at her office (for appointments etc.) via phone at
(530) 549-4594.
NPI number for Mrs Mindy Louise Crookham is 1467645382 and her current mailing address is 10622 Petunia Ln, Palo Cedro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467645382.
Provider's Profile
| Full Name | Mrs Mindy Louise Crookham |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 10622 Petunia Ln, Palo Cedro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467645382
- Provider Enumeration Date: 08/23/2007
- Last Update Date: 06/04/2014
Medical Identifiers
Medical identifiers for Mrs Mindy Louise Crookham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467645382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | NP14207 (California) | 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. Mrs Mindy Louise Crookham 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 |
|---|
Mrs Mindy Louise Crookham, NP
10622 Petunia Ln,
Palo Cedro, CA 96073-9776
Ph: (530) 549-4594 | Mrs Mindy Louise Crookham, NP
10622 Petunia Ln, Suite D,
Palo Cedro, CA 96073-9776
Ph: (530) 549-4594 |
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