Provider Demographics
NPI:1306620091
Name:CREASI, ANITA MARIE (MSED)
Entity type:Individual
Prefix:PROF
First Name:ANITA
Middle Name:MARIE
Last Name:CREASI
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11314 SUNDIAL CT APT B
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-2026
Mailing Address - Country:US
Mailing Address - Phone:703-424-6368
Mailing Address - Fax:
Practice Address - Street 1:1325 W ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4815
Practice Address - Country:US
Practice Address - Phone:202-329-7524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator