MEDICARE: RENEE DIANE PARISI PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP-10349	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN. 316598-COA1	OTHER	OH	REGISTERED NURSE
2	RX. 10349-EX1	OTHER	OH	CERTIFICATE TO PRESCRIBE-EXTERNSHIP
3	COA. 10349-NP	OTHER	OH	CERTIFICATE OF AUTHORITY

General Provider Information

NPI Number	:	1306098348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE DIANE PARISI PMHNP-BC

Provider Business Mailing Address
First Line	:	4040 ERIE ST
Second Line	:	PO BOX 665
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-7872
Country	:	US
Telephone Number	:	855-949-3551
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 ERIE ST
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-7872
Country	:	US
Telephone Number	:	856-949-3551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	02/09/2026

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