Diane Creedon

NPI 1225488984 · on the registry since 2016 · sole proprietor

Practice

Address: 1434 Porter Street
Fort Detrick, MD 21702
Phone: (301) 619-7675
Organisation at this address: Kimbrough Acc Military Mtf
Barquist Army Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 124Q00000X
124Q00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland