Individual
JOSHUA ADAM CREASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
13000 E 136TH ST STE 1200, FISHERS, IN 46037-9478
(317) 678-3030
(317) 678-3164
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28178522A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71011381A
IN
Other
Enumeration date
08/11/2021
Last updated
12/09/2021
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