Individual provider · NPI-1

Patricia Lynn Creach, RNFA

Registered Nurse, Registered Nurse First Assistant · Lakeland, FL

NPI number1467427294
StatusActive
Last updated in NPPESAug 5, 2022

Details

NPI
1467427294
Entity type
Individual (NPI-1)
Name
Patricia Lynn Creach
Credential
RNFA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 23, 2006
Certification date
Aug 5, 2022
Last updated
Aug 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First AssistantRN 861262FLYes
364SP2800X Clinical Nurse Specialist, PerioperativeRN861262FL

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Phone 636-871-3218 · Fax 863-284-1730

Mailing address

1324 Lakeland Hills Blvd
Attn: Managed Care Dept
Lakelnd, FL 33805-4543

Phone 863-687-1100 · Fax 863-603-6528

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