Provider Demographics
NPI:1871665026
Name:CREAMER, SANDRA L (PHD NP)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:L
Last Name:CREAMER
Suffix:
Gender:F
Credentials:PHD NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2 HOSPITAL DRIVE
Mailing Address - Street 2:SAINTS MEMORIAL CANCER CENTER
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852
Mailing Address - Country:US
Mailing Address - Phone:978-934-8425
Mailing Address - Fax:978-934-8537
Practice Address - Street 1:2 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852
Practice Address - Country:US
Practice Address - Phone:978-934-8425
Practice Address - Fax:978-934-8537
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA84682363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MACR NP4078Medicare PIN
P80919Medicare UPIN