Individual
VALENCIA VESHELLE FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3030 GREENMOUNT AVE STE 300, BALTIMORE, MD 21218-6907
(410) 452-5234
(410) 907-3189
Mailing address
3030 GREENMOUNT AVE STE 300, BALTIMORE, MD 21218-6907
(410) 452-5234
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905320
MS
Other
Enumeration date
10/28/2021
Last updated
08/14/2024
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