Craig Larry Lathen, FNP is a
Nurse Practitioner based in Owyhee, Nevada. Craig Larry Lathen is licensed to practice in Idaho (license number 55861) and his current practice location is
1623 Hospital Loop, Owyhee, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 757-2415.
NPI number for Craig Larry Lathen is 1962265199 and his current mailing address is Po Box 116, Mountain City, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962265199.
Provider's Profile
| Full Name | Craig Larry Lathen |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 1623 Hospital Loop, Owyhee, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962265199
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medical Identifiers
Medical identifiers for Craig Larry Lathen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962265199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 55861 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Craig Larry Lathen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Craig Larry Lathen, FNP
Po Box 116,
Mountain City, NV 89831-0116
Ph: (208) 851-2472 | Craig Larry Lathen, FNP
1623 Hospital Loop,
Owyhee, NV 89832-1200
Ph: (775) 757-2415 |
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