Individual
NICOLE LEIGH CICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2775 MOSSIDE BLVD, MONROEVILLE, PA 15146-2760
(412) 357-3000
Mailing address
9940 MARK AVE, IRWIN, PA 15642-1523
(724) 757-4246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147900
PA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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