| Doctor Name: | MARGARET CROCKETT |
| NPI Number: | 1265679450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | S229261 |
| Business Practice Address: | 3226 Heights Dr Cameron Park, CA - 956828543 |
| Business Phone Number: | 9167338459 |
| Business Fax Number: | 9167331728 |
| Mailing Address: | 3226 Heights Dr, CAMERON PARK |
| State: | CA |
| Postal Code: | 956828543 |
| Phone Number: | 9167338459 |
| Fax Number: | 9167331728 |
| NPI Enumeration Date: | 01/09/2009 |
| NPI Last Update Date: | 01/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0002X |
| License Number: | S229261 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neonatal Intensive Care |
| Taxonomy Definition: | |