Individual
AMY CREASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
(660) 258-1050
(660) 258-1052
Mailing address
10635 DELTA DR, BROWNING, MO 64630-9775
(660) 946-4594
(660) 258-4002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018021097
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018021097
MISSOURI STATE BOARD OF NURSING
MO
Enumeration date
08/27/2018
Last updated
11/09/2021
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