Provider Demographics
NPI:1194804856
Name:CREECH, KRISTI (RN)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:
Last Name:CREECH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7776 S POINTE PKWY W STE 135
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5402
Mailing Address - Country:US
Mailing Address - Phone:602-431-9585
Mailing Address - Fax:602-431-1677
Practice Address - Street 1:7776 S POINTE PKWY W STE 135
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-5402
Practice Address - Country:US
Practice Address - Phone:602-431-9585
Practice Address - Fax:602-431-1677
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN098799163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse