National Provider Identifier

Courtney Leigh Crooker, LPN

Courtney Leigh Crooker, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Bath, NY and a listed phone number of (607) 622-6000.

NPI 1043737703Bath, NYLicensed Practical Nurse

Profile Overview

NPI
1043737703
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 24, 2017
Last Updated
August 24, 2017

Practice Location

  • 9053 State Route 53
  • Bath, NY 14810-8008

Phone: (607) 622-6000

Mailing Address

  • 17 Moreland Dr
  • Beaver Dams, NY 14812-9101

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1043737703
Entity Type
Individual
Last Name
Crooker
First Name
Courtney
Middle Name
Leigh
Name Prefix
Miss
Credential
LPN
Mailing Street Address
17 Moreland Dr
Mailing City
Beaver Dams
Mailing State
NY
Mailing ZIP Code
14812-9101
Mailing Country
US
Mailing Phone
(607) 684-1478
Practice Street Address
9053 State Route 53
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-8008
Practice Country
US
Practice Phone
(607) 622-6000
Enumeration Date
August 24, 2017
Last Updated
August 24, 2017
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)