Individual
LISA ANNE MASCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,CPNP
Contact information
Practice address
64 BOYDEN RD, HOLDEN, MA 01520
(508) 885-2003
(508) 885-8071
Mailing address
5 NEPONSET ST, WOT 2ND FL, WORCESTER, MA 01606-2714
(508) 885-2003
(508) 885-8071
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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