Provider Demographics
NPI:1033611793
Name:CREASON, ELSIE DOUGLAS (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ELSIE
Middle Name:DOUGLAS
Last Name:CREASON
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 E FLAMINGO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3862
Mailing Address - Country:US
Mailing Address - Phone:702-444-4690
Mailing Address - Fax:702-444-0977
Practice Address - Street 1:3430 E FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3862
Practice Address - Country:US
Practice Address - Phone:702-444-4690
Practice Address - Fax:702-444-0977
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-08
Last Update Date:2021-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03499363LF0000X
NV830039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily