Mary T. Petrella, ND MS RN FNP BC
Nurse Practitioner · La Salle, IL
UnclaimedND MS RN FNP BCNPI 1922016849
- Primary taxonomy
- 363L00000X
- Enumerated
- 2006-08-04
- Practice location
- La Salle, IL
- Last NPPES update
- 2007-07-08
State licenses
- IL · Nurse practitioner · ADVANCED PRACTICE REGISTERED NURSEInactivethrough 2024
- IL · Nurse practitioner · FULL PRACTICE AUTHORITY APRNActivethrough 2028
- IL · Registered nurse · REGISTERED PROFESSIONAL NURSEActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.