Individual provider · Type 1 NPI

Mary Therese Petrella, ND MS RN FNP BC

Nurse Practitioner · La Salle, IL

NPI number 1922016849 Active

Practice location

2970 Chartres, Hygienic Institute Community Health Clinic
La Salle, IL 61301

Fax (815) 223-0358

Mailing address

24007 Majestic Drive
Minooka, IL 60447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1922016849

Mary Therese Petrella, ND MS RN FNP BC's National Provider Identifier is 1922016849, issued on Aug 4, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Salle, IL. The record was last updated on Jul 8, 2007.