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Individual
LISA ANNE MASCIARELLI
Active
Individual
LISA ANNE MASCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2269877
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100499A
—
MA
Enumeration date
07/18/2014
Last updated
02/07/2020
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