Individual provider · Type 1 NPI

Kellie Marie Creaser, DNP, PMHNP-BC, FNP-C

Psychiatric/Mental Health Nurse Practitioner · Brookings, OR

NPI number 1740821453 Active

Practice location

648 Chetco Ave
Brookings, OR 97415-8010

Fax (503) 914-6686

Mailing address

840 Hassett St
Brookings, OR 97415-7201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X201908534NP-PP (OR)
Family Nurse Practitioner 363LF0000X201908534NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201908534NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1740821453

Kellie Marie Creaser, DNP, PMHNP-BC, FNP-C's National Provider Identifier is 1740821453, issued on Oct 3, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brookings, OR. The record was last updated on Jul 22, 2025.