Individual
MRS. KELSIE DEE CREEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
116 E H ST, WYMORE, NE 68466-1702
(402) 645-3310
Mailing address
39646 STATE HIGHWAY 112, WYMORE, NE 68466-8028
(402) 806-7625
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
114836
NE
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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