# ANTHONY JULIUS CICHOCKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023078227
- **Gender:** Man
- **Credential:** CRNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 0001109176 | VA | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | 0024109176 | VA | — |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2601105-000 | WV MEDICAID | VA |
| 01 | — | 435255 | ANTHEM/BCBS | VA |
