Individual
DAWN DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
Mailing address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RN531625
PA
363L00000X
Nurse Practitioner
Primary
SP014223
PA
Other
Enumeration date
01/02/2009
Last updated
03/08/2017
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