NPI 1922058643 · live from the CMS NPI Registry
Carla M. Creekmore, C.R.N.P
Nurse Practitioner, Pediatrics in Louisville, KY. National Provider Identifier 1922058643, active.
NPI record
| NPI | 1922058643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 5211 Commerce Crossings Dr, Louisville, KY 40229 |
| Practice phone | 502-966-3918 |
| Mailing address | 500 Greene St, Children'S Medical Group, Cumberland, MD 21502 |
| Enumerated | May 11, 2006 |
| Last updated | October 13, 2020 |
| Sole proprietor | No |
| Other names | Carla Fritz |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R139268 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.