Provider Demographics
NPI:1457712929
Name:CREED, HEATHER M (NP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:M
Last Name:CREED
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1881 S RANDALL RD STE C
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2532
Mailing Address - Country:US
Mailing Address - Phone:630-845-8925
Mailing Address - Fax:630-845-8965
Practice Address - Street 1:1881 S RANDALL RD STE C
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2532
Practice Address - Country:US
Practice Address - Phone:630-845-8925
Practice Address - Fax:630-845-8965
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209-013597363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner