Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP132174 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP132174 | TX |
NPI | 1629528864 |
---|---|
Provider Name | Kristina Lynn Creech |
First Address | Arlington, TX 76014-2075 |
Second Address | Arlington, TX 76012-4758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2016 |
Last Update Date | 31/03/2021 |