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MRS. MINDY LOUISE CROOKHAM NP
NPI 1467645382
Nurse Practitioner - Family in Palo Cedro, CA

Active since August 23, 2007
10622 PETUNIA LN, SUITE D, PALO CEDRO, CA 96073(530) 549-4594 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mindy Louise Crookham Np NPPES

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

MRS. MINDY LOUISE CROOKHAM NP (NPI 1467645382) is an individual family provider in Palo Cedro, California, licensed in California (NP14207) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1467645382
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MINDY LOUISE CROOKHAMCredential: NP
Location Address10622 PETUNIA LN, SUITE DPalo Cedro, CA 96073-9776
Mailing Address10622 Petunia LnPalo Cedro, CA 96073-9776 · (530) 549-4594
Phone(530) 549-4594
Sole ProprietorYes
Enumeration DateAugust 23, 2007
Last NPPES UpdateJune 4, 2014
✔ NPI 1467645382 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 CA · NP14207
10622 PETUNIA LN, Palo Cedro, CA 96073
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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 Mindy Crookham's NPI number?

The NPI number for Mindy Crookham is 1467645382. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Mindy Crookham located?

Mindy Crookham practices at 10622 Petunia Ln Suite D, Palo Cedro, CA 96073. The listed phone number is (530) 549-4594.

What is Mindy Crookham'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 Mindy Crookham was last updated on June 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.