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General NPI Number Information
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NPI Number | 1023963618
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Entity Type | Organization
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Legal Business Name | CREEDON PSYCHIATRY PLLC
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 5300 TOWN AND COUNTRY BLVD STE 240
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City | FRISCO
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State | TX
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Zip | 75034-1008
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Country | US
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Telephone | 972-846-4080
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Fax | 972-947-5231
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Provider Business Mailing Address
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Address Line | 5300 TOWN AND COUNTRY BLVD STE 240
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City | FRISCO
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State | TX
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Zip | 75034-1008
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Country | US
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Telephone | 972-846-4080
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Fax | 972-947-5231
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ELIZA CREEDON
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Credential | NP
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Telephone | 972-846-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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