Individual
EMMAJEAN MCCREADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2005 WILSHIRE BLVD, LOS ANGELES, LOS ANGELES, CA 90057-3503
(213) 413-2700
(213) 413-6722
Mailing address
2007 WILSHIRE BLVD, SUITE 227, LOS ANGELES, CA 90057-3506
(213) 413-2700
(213) 413-6722
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN209322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2136
NP LICENSE
CA
05
—
RN209322
—
CA
Enumeration date
01/31/2007
Last updated
07/09/2007
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