Provider Demographics
NPI:1467423111
Name:CREE, BARBARA A (PAC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:CREE
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3933 MOUNT VERNON RD SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-3869
Mailing Address - Country:US
Mailing Address - Phone:319-363-8148
Mailing Address - Fax:319-363-9118
Practice Address - Street 1:3933 MOUNT VERNON RD SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-3869
Practice Address - Country:US
Practice Address - Phone:319-363-8148
Practice Address - Fax:319-363-9118
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085002621363A00000X
IA000974363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1467423111Medicaid