Healthcare Provider Details

I. General information

NPI: 1689354383
Provider Name (Legal Business Name): LARHONDA CRAIG FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 W SAHARA AVE STE B114
LAS VEGAS NV
89146-0844
US

IV. Provider business mailing address

4450 S HUALAPAI WAY UNIT 1227
LAS VEGAS NV
89147-7280
US

V. Phone/Fax

Practice location:
  • Phone: 702-489-4412
  • Fax:
Mailing address:
  • Phone: 334-701-4961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number867843
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number867843
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: