Basic Information
| Provider Information | |||||||||
| NPI: | 1578815023 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VOIGT | ||||||||
| FirstName: | CRYSTAL | ||||||||
| MiddleName: | L.AURA | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1955 S CASINO DR STE 118 | ||||||||
| Address2: | |||||||||
| City: | LAUGHLIN | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890291549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022997203 | ||||||||
| FaxNumber: | 7022997212 | ||||||||
| Practice Location | |||||||||
| Address1: | 1955 S CASINO DR STE 118 | ||||||||
| Address2: | |||||||||
| City: | LAUGHLIN | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890291549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022997203 | ||||||||
| FaxNumber: | 7022997212 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2012 | ||||||||
| LastUpdateDate: | 08/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | AP4689 | AZ | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | APRN001637 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.