Individual
MS. LUCINDA A. FAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, MSN
Contact information
Practice address
25 COLONY BOULEVARD, SUITE 102, BLAIRSVILLE, PA 15717-7971
(724) 459-9111
(724) 459-7856
Mailing address
25 COLONY BOULEVARD, SUITE 102, BLAIRSVILLE, PA 15717-7971
(724) 459-9111
(724) 459-7856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP000981B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007387593
—
PA
Enumeration date
01/05/2006
Last updated
03/15/2010
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