National Provider Identifier

Amy Creeden

Amy Creeden is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ithaca, NY and a listed phone number of (607) 257-5027.

NPI 1205646932Ithaca, NYLicensed Practical Nurse

Profile Overview

NPI
1205646932
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 14, 2025
Last Updated
January 14, 2025

Practice Location

  • 555 Warren RD
  • Ithaca, NY 14850-1862

Phone: (607) 257-5027

Mailing Address

  • 22 Wheeler Ave
  • Cortland, NY 13045-1123

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1205646932
Entity Type
Individual
Last Name
Creeden
First Name
Amy
Mailing Street Address
22 Wheeler Ave
Mailing City
Cortland
Mailing State
NY
Mailing ZIP Code
13045-1123
Mailing Country
US
Practice Street Address
555 Warren RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1862
Practice Country
US
Practice Phone
(607) 257-5027
Enumeration Date
January 14, 2025
Last Updated
January 14, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
January 14, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)