Individual
AMY CREEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 WARREN RD, ITHACA, NY 14850-1862
(607) 257-5027
Mailing address
22 WHEELER AVE, CORTLAND, NY 13045-1123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
348679
NY
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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