Provider Demographics
NPI:1033483318
Name:MCCREARY, LAFRENCHEE L (RN)
Entity Type:Individual
Prefix:
First Name:LAFRENCHEE
Middle Name:L
Last Name:MCCREARY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2873 NW US 221
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32331-4531
Mailing Address - Country:US
Mailing Address - Phone:850-948-2054
Mailing Address - Fax:850-948-2054
Practice Address - Street 1:2873 NW US 221
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:FL
Practice Address - Zip Code:32331-4531
Practice Address - Country:US
Practice Address - Phone:850-948-2054
Practice Address - Fax:850-948-2054
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-03
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3062522163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001675100Medicare UPIN