MEDICARE: NADINE CRACRAFT MS

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	106H00000X	Marriage & Family Therapist	0606	NV

General Provider Information

NPI Number	:	1750443461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE CRACRAFT MS

Provider Business Mailing Address
First Line	:	7465 W LAKE MEAD BLVD
Second Line	:	SUITE 2-104
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1032
Country	:	US
Telephone Number	:	702-893-2390
Fax Number	:

Provider Business Practice Location Address
First Line	:	7465 W LAKE MEAD BLVD
Second Line	:	SUITE 2-104
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1032
Country	:	US
Telephone Number	:	702-893-2390
Fax Number	:

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

Provider Enumeration Date	:	12/16/2006
Last Update Date	:	04/14/2017

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