Individual ProviderKimberly D CreelNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343(229) 220-2483PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly D Creel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1164888046Provider TypeIndividualFull NameCreel, Kimberly DCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date1/8/2016Last Updated11/4/2020Contact InformationPractice LocationPractice Address9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343Phone(229) 220-2483FaxUnlisted FaxMailing LocationMailing Address9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9315287Florida