Healthcare Provider Details

I. General information

NPI: 1962953463
Provider Name (Legal Business Name): LISA CATHERINE NAPOLI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 RESERVOIR ST
NEEDHAM MA
02494-3149
US

IV. Provider business mailing address

220 RESERVOIR ST
NEEDHAM MA
02494-3149
US

V. Phone/Fax

Practice location:
  • Phone: 781-443-1143
  • Fax:
Mailing address:
  • Phone: 781-443-1143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN2301353
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2301353
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: