Individual
PAULA DEANE CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-4555
Mailing address
108 FRANCES HORNER LN, LYNCHBURG, VA 24503-3728
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0024097745
VA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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