Organization
SPEAKEASY HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SUMMERLIN CRNP (OWNER)
(410) 994-2383
Entity
Organization
Contact information
Practice address
1814 BEL AIR RD STE 300, FALLSTON, MD 21047-2730
(410) 994-2383
Mailing address
PO BOX 372, HAMPSTEAD, MD 21074-0372
(410) 994-2383
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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