Provider Demographics
NPI:1073341087
Name:KILCREASE, ANNA LEIGH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:LEIGH
Last Name:KILCREASE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 E GROVE ST
Mailing Address - Street 2:
Mailing Address - City:BRANTLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36009-2513
Mailing Address - Country:US
Mailing Address - Phone:334-429-3657
Mailing Address - Fax:
Practice Address - Street 1:58 ROY BEALL DR
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:AL
Practice Address - Zip Code:36049-6800
Practice Address - Country:US
Practice Address - Phone:334-335-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-189563207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine