Fisher, Lacretia

Fisher, Lacretia is an individual health care provider with primary practice located at 3901 Chrysler Service Dr Tolan Park, Detroit MI 48201-2167. 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. Fisher, Lacretia can be contacted via phone (313) 993-3434.

Contact Information

Primary practice address
3901 Chrysler Service Dr Tolan Park Detroit MI 48201-2167
Phone: (313) 993-3434
Fax: (313) 993-3421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704281509 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704281509 Michigan

Profile Details

NPI number 1346631470
LBN Legal business name Fisher, Lacretia
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2015
Last updated Aug 4th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346631470 NPPES
Michigan MEDICAID 3434247

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