Individual
MIRANDA CREASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
VCUHS DEPT OF CHILD NEUROLOGY RESIDENCY, 980599, 1250 E. MARSHALL STREET, RICHMOND, VA 23298-0599
(804) 828-0442
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
0116035051
VA
Other
Enumeration date
04/30/2021
Last updated
07/01/2024
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