Individual provider · Type 1 NPI

Lateisha Creal

School Registered Nurse · Phoenix, AZ

NPI number 1205734837 Active

Practice location

7654 N 19th Ave
Phoenix, AZ 85021-7025

Mailing address

11677 W Marguerite Ave
Avondale, AZ 85323-5100

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X243437 (AZ)

School Registered Nurse: Definition to come...

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About NPI 1205734837

Lateisha Creal's National Provider Identifier is 1205734837, issued on Oct 26, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 26, 2026.