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CHARLES CROCKER NP
NPI 1043095276
Nurse Practitioner - Family in Colonial Beach, VA

Active since August 28, 2023
5 IRVING AVE, COLONIAL BEACH, VA 22443(804) 224-0571 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Crocker Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES CROCKER NP (NPI 1043095276) is an individual family provider in Colonial Beach, Virginia, licensed in Virginia (0024180587) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1043095276
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES CROCKERCredential: NP
Location Address5 IRVING AVEColonial Beach, VA 22443-2411
Mailing AddressPo Box 275Colonial Beach, VA 22443-0275
Phone(804) 224-0571
Sole ProprietorNo
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 27, 2023
✔ NPI 1043095276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024180587
5 IRVING AVE, Colonial Beach, VA 22443
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Crocker's NPI number?

The NPI number for Charles Crocker is 1043095276. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Charles Crocker located?

Charles Crocker practices at 5 Irving Ave, Colonial Beach, VA 22443. The listed phone number is (804) 224-0571.

What is Charles Crocker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charles Crocker was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.