Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtnie Lyn Crockett, PA-C

Individual provider Physician Assistant · NPI 1962051797

Courtnie Lyn Crockett, PA-C is a Physician Assistant in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2019.

Licensed in
AZ
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6780 W Thunderbird Rd Ste A101
Peoria, AZ 85381-5049
Phone: (028) 431-9916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7578 (AZ)

Record details

NPI number1962051797
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 4, 2019
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

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