Provider Demographics
NPI:1396005047
Name:CREELMAN, JANET MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:CREELMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:MARIE
Other - Last Name:LUCHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9025 MELBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7713
Mailing Address - Country:US
Mailing Address - Phone:719-358-7525
Mailing Address - Fax:
Practice Address - Street 1:5373 N UNION BLVD
Practice Address - Street 2:# 101
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-2073
Practice Address - Country:US
Practice Address - Phone:719-577-4448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-28
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO190727163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse