Individual provider · Type 1 NPI
Lisa Marie Mascioli, APRN, CNP
Nurse Practitioner · Dekalb, IL
Practice location
385 Wirtz Dr
Dekalb, IL 60115-3067
Fax (815) 306-2778
Other practice locations
- 1200 N East St, Olney, IL 62450-2432 · (618) 395-5222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.019809 (OH) |
| Nurse Practitioner Primary | 363L00000X | 277002175 (IL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277002175 (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…
Another provider at this address
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About NPI 1639627375
Lisa Marie Mascioli, APRN, CNP's National Provider Identifier is 1639627375, issued on Sep 12, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dekalb, IL. The record was last updated on Feb 9, 2024.