Provider Demographics
NPI:1699398727
Name:CREES, AMY (RD)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:CREES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:7411 EDINGER AVE UNIT 208
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7835
Mailing Address - Country:US
Mailing Address - Phone:775-870-5001
Mailing Address - Fax:
Practice Address - Street 1:7411 EDINGER AVE UNIT 208
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7835
Practice Address - Country:US
Practice Address - Phone:775-870-5001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-23
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty