Individual
MIRANDA CREASEY
Active
Individual
MIRANDA CREASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD600006112
DC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
0101289064
VA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
0116035051
VA
Other
Enumeration date
04/30/2021
Last updated
06/28/2026
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