Doctor Name: | LORENE CREASSER |
NPI Number: | 1013156736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 46317 |
Business Practice Address: | 9100 W 74th St Shawnee Mission, KS - 662044004 |
Business Phone Number: | 9136762200 |
Business Fax Number: | 9137893106 |
Mailing Address: | 9100 W 74th St, SHAWNEE MISSION |
State: | KS |
Postal Code: | 662044004 |
Phone Number: | |
Fax Number: | 9137893106 |
NPI Enumeration Date: | 02/19/2009 |
NPI Last Update Date: | 08/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 46317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |