Provider Demographics
NPI:1588112999
Name:KREAMER, KATIE LEANN (MSN, NP)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:LEANN
Last Name:KREAMER
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 MARCOURT LN
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-4944
Mailing Address - Country:US
Mailing Address - Phone:515-554-8795
Mailing Address - Fax:
Practice Address - Street 1:2635 LINCOLN WAY
Practice Address - Street 2:STE.A
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-7226
Practice Address - Country:US
Practice Address - Phone:563-243-1413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF103805363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health