MRS. DAISY CREATORE PMHNP-BC NPI 1558117853

NPI Information

  • NPI: 1558117853
  • Provider Name: MRS. DAISY CREATORE, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 60 W TERRA COTTA AVE STE B
    CRYSTAL LAKE, IL
    ZIP 60014
  • Phone: (224) 313-3065

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NPI Details

MRS. Daisy Creatore, PMHNP-BC is a psychiatric/mental health nurse practitioner in Crystal Lake, IL. MRS. Daisy Creatore, PMHNP-BC NPI is 1558117853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

60 W TERRA COTTA AVE STE B
CRYSTAL LAKE, IL
ZIP 60014-548
Phone: (224) 313-3065

The enumeration date for this NPI number is 4/26/2024 and was last updated on 4/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health209029567ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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