MEDICARE: DR. ELSIE DOUGLAS CREASON FNP-C, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	830039	NV
2	363LF0000X	Family Nurse Practitioner	830039	NV

General Provider Information

NPI Number	:	1033611793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELSIE DOUGLAS CREASON FNP-C, PMHNP-BC

Provider Business Mailing Address
First Line	:	1681 E FLAMINGO RD STE 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5274
Country	:	US
Telephone Number	:	575-644-3651
Fax Number	:	702-472-7992

Provider Business Practice Location Address
First Line	:	1681 E FLAMINGO RD STE 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5274
Country	:	US
Telephone Number	:	575-644-3651
Fax Number	:	702-472-7992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2018
Last Update Date	:	06/06/2026

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