Provider Demographics
NPI:1740996594
Name:GOLDING, CRAIG (RN)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:GOLDING
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 E MCGRAW RD
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89061-8694
Mailing Address - Country:US
Mailing Address - Phone:507-380-8869
Mailing Address - Fax:
Practice Address - Street 1:240 S HUMAHUACA ST
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-2199
Practice Address - Country:US
Practice Address - Phone:775-751-7408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN91605163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health