Individual provider · Type 1 NPI
Stacey L. Boetto, DNP, FNP-C
Nurse Practitioner · Chicago, IL
Practice location
142 E Ontario St Ste 1200
Chicago, IL 60611-2750
Other practice locations
- 303 N Raven Rd, Shorewood, IL 60404-9639 · (815) 546-4575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209.017015 (IL) |
| Family Nurse Practitioner | 363LF0000X | 209.017015 (IL) |
| Nurse Practitioner Primary | 363L00000X | 277000185 (IL) |
Nurse Practitioner: (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 wit…
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About NPI 1104334945
Stacey L. Boetto, DNP, FNP-C's National Provider Identifier is 1104334945, issued on Jan 15, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 12, 2025.