Individual
LACHAYA MARY RADCLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4813 W MARKET ST, GREENSBORO, NC 27407-1403
(866) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1129719
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012301
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254281
REGISTERED NURSE
NC
01
—
5012301
NURSE PRACTITIONER
NC
Enumeration date
02/19/2019
Last updated
08/04/2025
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