Mrs. Lacreasha Fullard, CRNP-PMH
Mrs. Lacreasha Fullard, CRNP-PMH is a Psychiatric/Mental Health Nurse Practitioner in Nottingham, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2020
Practice location Address checks out
9649 Belair Rd Ste 104Nottingham, MD 21236-1117
Phone: (410) 529-1309
Fax: (410) 529-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R219476 (MD) |
|---|
Record details
| NPI number | 1821696196 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNP-PMH |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2020 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | August 3, 2023 |
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