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Individual

THERESA CREAMER

Active
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Individual

THERESA CREAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, RD

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
59.001264
CT
363A00000X
Physician Assistant
Primary
5707
CT
363AM0700X
Medical Physician Assistant
Primary
5707
CT

Other

Enumeration date
03/21/2019
Last updated
05/08/2026
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