Healthcare Provider Details

I. General information

NPI: 1902481286
Provider Name (Legal Business Name): CRAIG FRANCIS APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1973 N STATE ST
PROVO UT
84604-1012
US

IV. Provider business mailing address

240 N EAST PROMONTORY STE 200
FARMINGTON UT
84025-2950
US

V. Phone/Fax

Practice location:
  • Phone: 801-769-6284
  • Fax:
Mailing address:
  • Phone: 801-769-6284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number8248447-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: