Individual
DANIELA ILCENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44 SOUTH ST, ROCKPORT, MA 01966-1800
(978) 546-6311
Mailing address
12 HOVEY ST APT 2, GLOUCESTER, MA 01930-3658
(978) 704-5934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2318246
MA
Other
Enumeration date
10/30/2021
Last updated
02/07/2025
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