Healthcare Provider Details

I. General information

NPI: 1619276672
Provider Name (Legal Business Name): COURTNEY B MCCREE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY B MURPHY

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7375 OSWEGO RD STE 1
LIVERPOOL NY
13090-3717
US

IV. Provider business mailing address

7375 OSWEGO RD STE 1
LIVERPOOL NY
13090-3717
US

V. Phone/Fax

Practice location:
  • Phone: 716-699-9032
  • Fax: 716-699-9035
Mailing address:
  • Phone: 716-699-9032
  • Fax: 716-699-9035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209015616
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3009672
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71003559A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3009672
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704397354
License Number StateMI
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number351498
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14453-33
License Number StateWI
# 8
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209015616
License Number StateIL
# 9
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0033432
License Number StateOH
# 10
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP028931
License Number StatePA
# 11
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71003559A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: