Mccreadie, Emmajean

Mccreadie, Emmajean is an individual health care provider with primary practice located at 2005 Wilshire Blvd Los Angeles, Los Angeles CA 90057-3503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mccreadie, Emmajean can be contacted via phone (213) 413-2700.

Contact Information

Primary practice address
2005 Wilshire Blvd Los Angeles Los Angeles CA 90057-3503
Fax: (213) 413-6722
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN209322 California

Profile Details

NPI number 1811034507
LBN Legal business name Mccreadie, Emmajean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811034507 NPPES
California Other NP2136 NP LICENSE
California MEDICAID RN209322 NP LICENSE

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