Hannah Creta, PMHNP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Johnston, RI

NPI 1265040745 · NPPES record last updated Aug 1, 2023

Key facts

NPI
1265040745
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
APRN02546 (RI)
Practice address
1395 Atwood Ave Ste 106
Johnston, RI 02919-4930
Phone
(401) 241-3344
Fax
(401) 563-8656
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
RN2319632RIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2319632 RI
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X APRN02546 RI Yes

Addresses

Primary practice location

1395 Atwood Ave Ste 106
Johnston, RI 02919-4930

Mailing address

1395 Atwood Ave Ste 106
Johnston, RI 02919-4930
Phone (401) 241-3344

Other practice location 1

115 Mill St
Belmont, MA 02478-1064
Phone (617) 855-2515

Other providers in Johnston, RI

All providers in Johnston, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island

Sources for this page

Verify at the official NPI Registry.