Individual provider · Type 1 NPI

Lucas Fraley, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Madison, WI

NPI number 1417669060 Active

Practice location

5401 Quarry Park Rd
Madison, WI 53718-7901

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422

Other practice locations

  • 100 E Carroll St, Salisbury, MD 21801-5422 · (202) 360-4787
  • 100 E Carroll St, Salisbury, MD 21801-5422 · (410) 543-7162

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAC004854 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1417669060

Lucas Fraley, PMHNP's National Provider Identifier is 1417669060, issued on Dec 14, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Madison, WI. The record was last updated on Aug 26, 2025.