Provider Demographics
NPI:1619276672
Name:MCCREE, COURTNEY B (NP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:B
Last Name:MCCREE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:B
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7375 OSWEGO RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-3717
Mailing Address - Country:US
Mailing Address - Phone:716-699-9032
Mailing Address - Fax:716-699-9035
Practice Address - Street 1:7375 OSWEGO RD STE 1
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-3717
Practice Address - Country:US
Practice Address - Phone:716-699-9032
Practice Address - Fax:716-699-9035
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015616363L00000X, 363LF0000X
KY3009672363L00000X, 363LF0000X
IN71003559A363L00000X, 363LF0000X
MI4704397354363LF0000X
NY351498363LF0000X
WI14453-33363LF0000X
OH0033432363LF0000X
PASP028931363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201018940Medicaid
M400067461Medicare Oscar/Certification