# MRS. KELSIE DEE CREEVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912683228
- **Gender:** F
- **Credential:** APRN-FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 114836 | NE | Yes |

## Other

- **Enumeration date:** 06/22/2023
- **Last updated:** 06/22/2023