Individual provider · Type 1 NPI
Lisa Marie Scully, CRNP
Psychiatric/Mental Health Nurse Practitioner · Bala Cynwyd, PA
NPI number
1770127326
Active
Practice location
100 Presidential Blvd Lbby G1
Bala Cynwyd, PA 19004-1108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP021117 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770127326
Lisa Marie Scully, CRNP's National Provider Identifier is 1770127326, issued on Nov 6, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Nov 6, 2019.