Individual
BONNIE CREEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-2216
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-2216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146645
NY
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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