Crockett, Lady

Crockett, Lady is an individual health care provider with primary practice located at 6942 Tylersville Rd , West Chester OH 45069-1511. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Crockett, Lady can be contacted via phone (513) 868-0055.

Contact Information

Primary practice address
6942 Tylersville Rd West Chester OH 45069-1511
Phone: (513) 868-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 384621 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0029189 Ohio

Profile Details

NPI number 1548522436
LBN Legal business name Crockett, Lady
Credentials MSN, APRN-CNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2012
Last updated May 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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