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Individual

ELIZABETH ROSE CREASY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10407 TIETON DR, YAKIMA, WA 98908-9591
(509) 731-4908
Mailing address
10407 TIETON DR, YAKIMA, WA 98908-9591
(509) 731-4908

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60124572
WA
163WC1500X
Community Health Registered Nurse
RN60124572
WA
163WW0000X
Wound Care Registered Nurse
RN60124572
WA

Other

Enumeration date
01/25/2010
Last updated
07/18/2022
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