Individual
DESIREE CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-6754
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71988
ID
363LA2100X
Acute Care Nurse Practitioner
71988
ID
363LA2100X
Acute Care Nurse Practitioner
AP61145770
WA
Other
Enumeration date
06/22/2021
Last updated
08/05/2025
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