Individual provider · Type 1 NPI

Lisa Nicole Wackerman, RN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Mariposa, CA

NPI number 1457961815 Active

About NPI 1457961815

Lisa Nicole Wackerman, RN's National Provider Identifier is 1457961815, issued on Jul 31, 2020. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Mariposa, CA. The record was last updated on Jul 31, 2020.