Individual
PAMELA MARIA CREIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908
(401) 525-2590
Mailing address
94 HARRIS ST., RIVERSIDE, RI 02915
(401) 433-3570
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
36649
RI
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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