Individual
PROF. CONSTANCE J. CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, APRN, BC, ANP
Contact information
Practice address
39595 W 10 MILE RD, NOVI, MI 48375-2948
(248) 476-6980
(248) 474-7462
Mailing address
39595 W 10 MILE RD, NOVI, MI 48375-2948
(248) 476-6980
(248) 474-7462
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704117520
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12575256
CAQH
MI
Enumeration date
11/09/2007
Last updated
09/08/2015
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