Crea Rose
Crea Rose is a Nurse Practitioner in Salem, Illinois. Qualified in 2022, 4 years ago. Practices with Revival Health and Wellness Clinic, a 2-clinician group. Licensed in Illinois.
- Years since qualifying
- 4
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
207 E Main StSalem, IL 62881-2926
Phone: (618) 740-2240
Fax: (618) 740-2241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209.025104 (IL) |
|---|
Record details
| NPI number | 1366184053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 12, 2022 |
| Last updated in NPPES | April 19, 2026 |
| Certification date | April 19, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Revival Health And Wellness Clinic — 2 clinicians |
| Accepts Medicare assignment | Not indicated |
Other providers in Salem
-
Mrs. Deborah L Malone, CNP
1275 Hawthorn Rd, Salem, IL 62881-1028 · (618) 548-4545
-
Sara E McKinzie, WHNP-BC
1275 Hawthorn Rd, Salem, IL 62881-1028 · (618) 548-4545
-
Kathern Joan Norman, NP
1250 W Whittaker St, Salem, IL 62881-1900 · (618) 548-3740
-
Roger Young, NP
1250 W Whittaker St, Salem, IL 62881-1917 · (618) 548-3740