Provider Demographics
NPI:1457125122
Name:CREECY, CLAIRE ELAINE (APRN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ELAINE
Last Name:CREECY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:CREECY
Other - Last Name:KYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN FNP-C
Mailing Address - Street 1:4509 INTEGRIS PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-8696
Mailing Address - Country:US
Mailing Address - Phone:405-657-3931
Mailing Address - Fax:
Practice Address - Street 1:4509 INTEGRIS PKWY STE 300
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-8696
Practice Address - Country:US
Practice Address - Phone:405-657-3985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK215811363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily