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Kellie Marie Creaser, FNP,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Brookings, Oregon
NPI 1740821453

Kellie Marie Creaser is a Psychiatric/Mental Health Nurse Practitioner based in Brookings, OR and is specialized in Psychiatric/Mental Health. Kellie Marie Creaser practices in Brookings, OR and has the professional credentials of FNP,PMHNP. The NPI Number for Kellie Marie Creaser is 1740821453 and holds a License No. 201908534NP-PP (Oregon).

The current practice location address for Kellie Marie Creaser is 840 Hassett St, Brookings, OR and can be reached out via phone at 307-351-3666.

Location: 840 Hassett St, Brookings, OR, 97415-7201
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Provider Profile Details
NPI Number
1740821453
Provider Name
Kellie Marie Creaser
Credential
FNP,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
840 Hassett St, Brookings, OR, 97415-7201
Phone Number
307-351-3666
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500771078 05 OR
1083656367 01 OR CURRY MEDICAL CENTER NPI
institution
Provider Business Practice Location Address Details
Address
840 Hassett St
City
State
Zip
97415-7201
Phone Number
307-351-3666
Fax Number
person
Provider Business Mailing Address Details
Address
840 Hassett St
City
State
Zip
97415-7201
Phone Number
307-351-3666
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201908534NP-PP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
201908534NP-PP (Oregon)
Definition
Definition to come...
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