Provider Demographics
NPI:1033977616
Name:CREIGHAN, BONNIE SUE (RN)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:SUE
Last Name:CREIGHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:SUE
Other - Last Name:GRECO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:601 OLD LEECHBURG RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-1448
Mailing Address - Country:US
Mailing Address - Phone:412-849-8150
Mailing Address - Fax:
Practice Address - Street 1:601 OLD LEECHBURG RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-1448
Practice Address - Country:US
Practice Address - Phone:412-849-8150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN516369L163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice