PROF. CONSTANCE J. CREECH (NPI# 1295915031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295915031 |
| Entity Type | Individual |
| Full Name | PROF. CONSTANCE J. CREECH |
| Credential | EDD, APRN, BC, ANP |
| Practice Address |
39595 W 10 Mile Rd Novi MI 48375-2948 |
| Practice Telephone | 2484766980 |
| Practice Fax Number | 2484747462 |
| Mailing Telephone | 2484766980 |
| Mailing Fax Number | 2484747462 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2015-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704117520 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH | 12575256 | 01 |
| Street Address |
39595 W 10 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48375-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548259948 | Nds Radiology Pllc | Clinic/Center | 39595 W 10 Mile Rd, Suite 102, Novi, MI 48375-2948 | 2005-10-18 |
| 1376787655 | Jeffrey Senechal | Chiropractor | 39595 W 10 Mile Rd, Suite 112, Novi, MI 48375-2948 | 2009-04-30 |
| 1437399870 | Oakland Oral Surgery Associates | Dentist | 39595 W 10 Mile Rd, Suite 107, Novi, MI 48375-2948 | 2009-02-25 |
| 1427227461 | Benjamin Krpichak M.d. P.C. | Physical Medicine & Rehabilitation | 39595 W 10 Mile Rd, Novi, MI 48375-2948 | 2008-02-25 |
| 1205999364 | Randall Tent | Chiropractor | 39595 W 10 Mile Rd, Suite 112, Novi, MI 48375-2948 | 2006-12-19 |
| 1316000391 | Diverse Health Services Pllc | Chiropractor | 39595 W 10 Mile Rd, Suite 112, Novi, MI 48375-2948 | 2006-12-19 |
| 1710063631 | Mark Anthony Azzopardi | Dentist | 39595 W 10 Mile Rd, #107, Novi, MI 48375-2948 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184107427 | Josilyn Goebel | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2018-09-12 |
| 1700247772 | Kamera Sakeena Boggon | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2016-03-17 |
| 1154727147 | Behavioral Care Solutions for Adults and Seniors, Inc. | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2014-11-18 |
| 1568889004 | Lorna Broom | Nurse Practitioner | 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 | 2014-03-22 |
| 1760810741 | Jennifer Witmer | Nurse Practitioner | 24230 Karim Blvd, Novi, MI 48375-2960 | 2013-10-29 |
| 1639447279 | Samantha Rita Kassab | Nurse Practitioner | 28455 Haggerty Rd Ste 200, Novi, MI 48377-2982 | 2011-12-10 |
| 1699084343 | Veronica Shivachi | Nurse Practitioner | 24110 Meadowbrook Rd, Suite 206, Novi, MI 48375-3459 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROF. CONSTANCE J. CREECH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.