Healthcare Provider Details

I. General information

NPI: 1609960780
Provider Name (Legal Business Name): G. LINDSAY MCCREA MS, ARNP, BC, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 CAMINO DIABLO SUITE 100
WALNUT CREEK CA
94597-3987
US

IV. Provider business mailing address

3185 OLD TUNNEL RD
LAFAYETTE CA
94549-4134
US

V. Phone/Fax

Practice location:
  • Phone: 925-451-1858
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number365026
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: