Individual
LISA MARIE SCACCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 SUGARMAPLE LN, LEVITTOWN, PA 19055-2007
(215) 945-8400
(215) 945-9368
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
(215) 807-8000
(215) 945-9368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
SP011152
PA
363L00000X
Nurse Practitioner
Primary
SP011152
PA
Other
Enumeration date
12/15/2010
Last updated
06/21/2019
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