Lisa Nicole Wackerman, RN
NPI #1457961815 in Mariposa, California
Provider Information
- NPI Number
- 1457961815
- Entity Type
- Individual
- Name
- Lisa Nicole Wackerman, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health, Child & Adolescent
- Credential
- RN
- Enumeration Date
- Jul 31, 2020
- Last Updated
- Jul 31, 2020
Practice Location
- Address
- 6986 SCOTT RD
- City
- Mariposa
- State
- California
- ZIP Code
- 95338-9639
- Phone
- (209) 966-7095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health, Child & Adolescent — Psychiatric/Mental Health, Child & Adolescent |
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