Provider Demographics
NPI:1710361860
Name:BURLESON ALMEIDA, LACY LEIGH (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:LACY
Middle Name:LEIGH
Last Name:BURLESON ALMEIDA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:LACY
Other - Middle Name:LEIGH
Other - Last Name:BURLESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21444 CARMEAN WAY
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-4572
Mailing Address - Country:US
Mailing Address - Phone:302-855-1233
Mailing Address - Fax:855-634-9302
Practice Address - Street 1:21444 CARMEAN WAY
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-4572
Practice Address - Country:US
Practice Address - Phone:302-855-1233
Practice Address - Fax:302-855-2025
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA803366163W00000X
CA95003937363LP0808X
DEL8-0010301363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse