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Lisa Marie Mascioli, APRN,CNP
Psychiatric/Mental Health Nurse Practitioner in Dekalb, Illinois
NPI 1639627375

Lisa Marie Mascioli is a Psychiatric/Mental Health Nurse Practitioner based in Dekalb, IL and is specialized in Psychiatric/Mental Health. Lisa Marie Mascioli practices in Dekalb, IL and has the professional credentials of APRN,CNP. The NPI Number for Lisa Marie Mascioli is 1639627375 and holds a License No. APRN.CNP.019809 (Illinois).

The current practice location address for Lisa Marie Mascioli is 385 Wirtz Dr, Dekalb, IL and can be reached out via phone at 815-306-2777 and via fax at 815-306-2778.

Location: 385 Wirtz Dr, Dekalb, IL, 60115-3067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639627375
Provider Name
Lisa Marie Mascioli
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
385 Wirtz Dr, Dekalb, IL, 60115-3067
Phone Number
815-306-2777
Fax Number
815-306-2778
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2846675 05 OH
institution
Provider Business Practice Location Address Details
Address
385 Wirtz Dr
City
Dekalb
State
Illinois
Zip
60115-3067
Phone Number
815-306-2777
Fax Number
815-306-2778
person
Provider Business Mailing Address Details
Address
385 Wirtz Dr
City
Dekalb
State
Illinois
Zip
60115-3067
Phone Number
815-306-2777
Fax Number
815-306-2778
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
277002175 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN.CNP.019809 (Ohio)
Definition
Definition to come...
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