Provider Demographics
NPI:1669276010
Name:CREAL, VERNESHA N
Entity type:Individual
Prefix:
First Name:VERNESHA
Middle Name:N
Last Name:CREAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 E 109TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-3511
Mailing Address - Country:US
Mailing Address - Phone:816-352-0405
Mailing Address - Fax:
Practice Address - Street 1:2421 E 109TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-3511
Practice Address - Country:US
Practice Address - Phone:816-352-0405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant