Individual provider · Type 1 NPI

Desiree Creekmore

Nurse Practitioner · Coeur D Alene, ID

NPI number 1639748890 Active

Practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Call (208) 625-6754 Map

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAP61145770 (WA)
Acute Care Nurse Practitioner 363LA2100X71988 (ID)
Nurse Practitioner Primary 363L00000X71988 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639748890

Desiree Creekmore's National Provider Identifier is 1639748890, issued on Jun 22, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 5, 2025.