Fullard, Lacreasha
Fullard, Lacreasha is an sole proprietor health care provider with primary practice located at 9649 Belair Rd Ste 104 , Nottingham MD 21236-1117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fullard, Lacreasha can be contacted via phone (410) 529-1309.Contact Information
Primary practice address
9649 Belair Rd Ste 104
Nottingham MD 21236-1117
Phone: (410) 529-1309
Fax: (410) 529-1005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R219476 | Maryland |
Profile Details
| NPI number | 1821696196 |
|---|---|
| LBN Legal business name | Fullard, Lacreasha |
| Credentials | CRNP-PMH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2020 |
| Last updated | Aug 8th, 2023 - about last year |
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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