IndividualActive
Carolyn Crockett
NPI 1467229492 · Licensed Practical Nurse · Las Vegas, NV
Provider details
- NPI number
- 1467229492
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LPN17606 (NV)
Specialties & taxonomies
Nursing Service Providers
Practice location
4423 W Flamingo Rd
Las Vegas, NV 89103-3703
Phone: (702) 458-1137
Fax: (702) 458-1423
Approximate (ZIP-level) locationGet directions
Mailing address
4201 S Decatur Blvd Apt 2196
Las Vegas, NV 89103-5889
Registry dates
- Enumerated
- 2023-12-11
- Last updated
- 2023-12-11
- Certified
- 2023-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.