Provider Demographics
NPI:1275180945
Name:CREED, HANNAH MERRITT (FNP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MERRITT
Last Name:CREED
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:DOBSON
Mailing Address - State:NC
Mailing Address - Zip Code:27017-0325
Mailing Address - Country:US
Mailing Address - Phone:888-789-2922
Mailing Address - Fax:336-789-0856
Practice Address - Street 1:105 N CRUTCHFIELD ST # 2
Practice Address - Street 2:
Practice Address - City:DOBSON
Practice Address - State:NC
Practice Address - Zip Code:27017-8804
Practice Address - Country:US
Practice Address - Phone:888-789-2922
Practice Address - Fax:336-789-0856
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012308363L00000X
VA0024189060363LF0000X, 363L00000X
NCF08190162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner