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Contact Information

DESIREE CREEKMORE
2003 KOOTENAI HEALTH WAY
COEUR D'ALENE, ID83814-6051
 Phone: 208-625-6754
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DESIREE CREEKMORE · (Female)

NPI # 1639748890
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2021
Last updated 08/05/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • ID License # 71988
  • WA License # AP61145770
Hospital affiliation(s)
  • PROVIDENCE MOUNT CARMEL HOSPITAL - (Critical Access)
    982 EAST COLUMBIA
    COLVILLE, WA 99114
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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