Individual
ROSEMARY CIAVOLA CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, PNP
Contact information
Practice address
577 WESTERN AVE, WESTFIELD, MA 01086-1630
(413) 572-5415
(413) 572-5545
Mailing address
P.O. BOX 1630, WESTFIELD STATE COLLEGE, WESTFIELD, MA 01086-1630
(413) 572-5415
(413) 572-5545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
92766
MA
Other
Enumeration date
11/01/2006
Last updated
09/30/2009
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