Individual
JOSEPH VINCENT CIAMPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 231-7000
Mailing address
PO BOX 16, STATE COLLEGE, PA 16804-0016
(814) 466-5090
(814) 466-5095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
146061
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN593822
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031131900001
—
PA
Enumeration date
06/25/2012
Last updated
09/14/2016
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