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Contact Information

JENIFFER CREQUE, APRN
6040 S FORT APACHE RD STE 100
LAS VEGAS, NV89148-5613
 Phone: 702-476-4900
 Fax: 702-476-4949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENIFFER CREQUE · (Female)

NPI Number 1902377229
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 12/14/2018
Last updated 12/14/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 815834
  • MD Other 2018070364 ANCC
  • NV Other 815834 APRN LICENSE
Hospital affiliation(s)
  • SUNRISE HOSPITAL AND MEDICAL CENTER - (Acute Care)
    3186 S MARYLAND PKWY
    LAS VEGAS, NV 89109
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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