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Individual
MARILOU L CICERO
Active
Individual
MARILOU L CICERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
2848-033
WI
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
139407030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139407030
CLINICAL NURSE SPECIALIST - ADULT HEALTH
WI
01
—
2005007279-05
BOARD CERTIFIED ANCC - NATIONAL
—
01
—
2848-033
NURSE PRESCRIBER - PAIN MANAGEMENT
WI
Enumeration date
06/26/2008
Last updated
06/26/2008
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