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General NPI Number Information
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NPI Number | 1811415763
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Entity Type | Individual
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Provider Name | LUKE ROBERT CREASMAN DNP, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 338 S DAKOTA AVE
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City | VANDENBERG AFB
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State | CA
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Zip | 93437-6307
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Country | US
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Telephone | 805-606-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 21ST MDG 559 VINCENT STREET PAFB, CO 80914-1540
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95007243
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 125913
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License Number State | AK
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