Individual
JOSEPH CREADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
30 MAIN STREET SUITE 30-2, TOMS RIVER, NJ 08753
(732) 213-3834
(732) 998-8341
Mailing address
30 MAIN STREET SUITE 30-2, TOMS RIVER, NJ 08753
(732) 213-3834
(732) 998-8341
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
26NR12373600
NJ
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
07/22/2014
Last updated
02/12/2024
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