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MRS. MARY THERESE PETRELLA ND MS RN FNP BC
NPI 1922016849
Nurse Practitioner in La Salle, IL

Active since August 04, 2006
2970 CHARTRES, HYGIENIC INSTITUTE COMMUNITY HEALTH CLINIC, LA SALLE, IL 61301(815) 223-0196(815) 223-0358 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Therese Petrella Nd Ms Rn Fnp Bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY THERESE PETRELLA ND MS RN FNP BC (NPI 1922016849) is an individual nurse practitioner in La Salle, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1922016849
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARY THERESE PETRELLACredential: ND MS RN FNP BC
Location Address2970 CHARTRES, HYGIENIC INSTITUTE COMMUNITY HEALTH CLINICLa Salle, IL 61301
Mailing Address24007 Majestic DriveMinooka, IL 60447 · (815) 467-2871
Phone(815) 223-0196
Fax(815) 223-0358
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922016849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2970 CHARTRES, La Salle, IL 61301
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Other Names 1

Other Name (5)Mary Therese Lauric

Other Identifiers 2

Medicare ID-Type Unspecified518740IL
Medicare UPINS66588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Petrella's NPI number?

The NPI number for Mary Petrella is 1922016849. It was assigned to this individual provider in the NPPES registry on August 4, 2006. The provider is also known as Mary Therese Lauric.

Where is Mary Petrella located?

Mary Petrella practices at 2970 Chartres Hygienic Institute Community Health Clinic, La Salle, IL 61301. The listed phone number is (815) 223-0196.

What is Mary Petrella's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Petrella was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.