Provider Demographics
NPI:1538848643
Name:CREAMER, KATHERINE (CBD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:CREAMER
Suffix:
Gender:F
Credentials:CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 MAJOR LEE LN
Mailing Address - Street 2:
Mailing Address - City:JARRELL
Mailing Address - State:TX
Mailing Address - Zip Code:76537-1884
Mailing Address - Country:US
Mailing Address - Phone:512-656-5342
Mailing Address - Fax:
Practice Address - Street 1:440 MAJOR LEE LN
Practice Address - Street 2:
Practice Address - City:JARRELL
Practice Address - State:TX
Practice Address - Zip Code:76537-1884
Practice Address - Country:US
Practice Address - Phone:512-656-5342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula