Nora S Creighton, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Riverview, MI

NPI 1093820573 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1093820573
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
4704160314 (MI)
Practice address
19020 Fort St
Riverview, MI 48193-6701
Phone
(734) 362-5100
Fax
(734) 362-5147
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704160314 MI Yes

Addresses

Primary practice location

19020 Fort St
Riverview, MI 48193-6701

Mailing address

19020 Fort St
Riverview, MI 48193-6701
Phone (734) 362-5100

Other identifiers

IdentifierTypeStateIssuer
4704160314OtherMISTATE LICENSE

Other providers in Riverview, MI

All providers in Riverview, MI · Family Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.