Individual
CARLA M. CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P
Contact information
Practice address
5211 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229-2183
(502) 966-3918
(502) 969-3665
Mailing address
500 GREENE ST, CHILDREN'S MEDICAL GROUP, CUMBERLAND, MD 21502-2755
(301) 724-7616
(301) 724-4811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R139268
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409219800
—
MD
Enumeration date
05/11/2006
Last updated
10/13/2020
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