Individual
CHARLOTTE CATHERINE CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LICENSENO37
MT
363LF0000X
Family Nurse Practitioner
153063
MT
Other
Enumeration date
01/23/2009
Last updated
01/06/2020
Update your record
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