Individual
LISA ROSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N, N.P
Contact information
Practice address
800 BRICKSTONE SQ, ANDOVER, MA 01810-0181
(617) 665-7171
Mailing address
300 BRICKSTONE SQ STE 201, ANDOVER, MA 01810-1497
(617) 665-7171
(773) 825-8202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284757
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2284757
MA
Other
Enumeration date
03/07/2014
Last updated
12/08/2022
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