Individual
MS. DIANE M CREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
123 WEMINUCHE AVE, IGNACIO, CO 81137-0899
(970) 563-4581
Mailing address
PO BOX 737, IGNACIO, CO 81137-0737
(970) 563-4581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
990025
CO
Other
Enumeration date
02/23/2009
Last updated
10/07/2014
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