Individual
LUCINDA RUTH EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
912 SETON DR, CUMBERLAND, MD 21502-1818
(301) 722-3111
(301) 722-5135
Mailing address
912 SETON DR, CUMBERLAND, MD 21502-1818
(240) 964-8921
(240) 964-8925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R094922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R094922
MARYLAND STATE LICENSE
MD
Enumeration date
04/21/2015
Last updated
10/28/2019
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