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MR. GARY CROTTEAU
NPI 1841419801
Licensed Practical Nurse in Frederick, MD

Active since April 25, 2007
1434 PORTER ST, FREDERICK, MD 21702(301) 619-5115(301) 619-7676 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Gary Crotteau NPPES

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

MR. GARY CROTTEAU (NPI 1841419801) is an individual licensed practical nurse in Frederick, Maryland, licensed in Georgia (LPN044173) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1841419801
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. GARY CROTTEAU
Location Address1434 PORTER STFrederick, MD 21702-9210
Mailing Address1434 Porter StFrederick, MD 21702-9210 · (301) 619-5115 · Fax (301) 619-7676
Phone(301) 619-5115
Fax(301) 619-7676
Sole ProprietorYes
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1841419801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN044173
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1434 PORTER ST, Frederick, MD 21702
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY-ELIZABETH DELMONTE MD
Family Medicine
1434 PORTER ST, BARQUIST ARMY HEALTH CLINIC
FORT DETRICK, MD 21702
Frederick County (301) 619-2217
DR. DARRELL JAMES APPLE M.D.
Internal Medicine
1434 PORTER ST
FREDERICK, MD 21702
Frederick County (301) 619-7175
MARTA VICKERS
Nurse Practitioner (Family)
1434 PORTER ST
FORT DETRICK, MD 21702
Frederick County (301) 619-4820
ROBERT E. SCHWARTZ JR. P.T.
Specialist
1434 PORTER ST, BAHC
FORT DETRICK, MD 21702
Frederick County (301) 619-4670
DR. NARAYAN NAIR M.D.
Internal Medicine
1434 PORTER ST, BARQUST ARMY CLINIC, FORT DETRICK
FREDERICK, MD 21702
Frederick County (301) 619-7175
PAUL EDWARD FORST M. D.
Family Medicine
1434 PORTER ST
FORT DETRICK, MD 21702
Frederick County (301) 619-6917
DR. KENNETH ALVIN BERTRAM MD
Internal Medicine (Hematology & Oncology)
1434 PORTER ST, BARQUIST ARMY HEALTH CLINIC
FREDERICK, MD 21702
Frederick County (301) 619-4666
MS. KEARY J JOHNSTON PA
Physician Assistant
1434 PORTER ST
FORT DETRICK, MD 21702
Frederick County (915) 227-9515

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 Gary Crotteau's NPI number?

The NPI number for Gary Crotteau is 1841419801. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Gary Crotteau located?

Gary Crotteau practices at 1434 Porter St, Frederick, MD 21702. The listed phone number is (301) 619-5115.

What is Gary Crotteau's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gary Crotteau was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.