Individual
MS. LISA M ARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVENUE NORTH, DEPARTMENT OF VASCULAR SURGERY, WORCESTER, MA 01605-2138
(508) 334-5599
(508) 856-8329
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
195354
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN195354
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323586
—
MA
05
—
110014007A
—
MA
Enumeration date
02/14/2006
Last updated
03/09/2022
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