Provider Demographics
NPI:1720252257
Name:CREAMER, SUSAN E (PAC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:E
Last Name:CREAMER
Suffix:
Gender:F
Credentials:PAC
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Other - First Name:
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Mailing Address - Street 1:10 CROSSROADS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5458
Mailing Address - Country:US
Mailing Address - Phone:410-363-7172
Mailing Address - Fax:410-363-7188
Practice Address - Street 1:10 CROSSROADS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5458
Practice Address - Country:US
Practice Address - Phone:410-363-7172
Practice Address - Fax:410-363-7188
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0001526363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical