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Individual
DANIELA MARIE CICCOLINI
Active
Individual
DANIELA MARIE CICCOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000195893
TN
163W00000X
Registered Nurse
RN2270016
MA
363LP0200X
Pediatric Nurse Practitioner
18240
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2270016
MA
Other
Enumeration date
11/13/2013
Last updated
09/04/2019
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