Individual
MRS. NANCY TAYLOR CICAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
28 N.COLLEGE ST., DICKINSON COLLEGE HEALTH SERVICES, CARLISLE, PA 17013-2727
(717) 245-1835
(717) 245-1938
Mailing address
28 N. COLLEGE ST., CARLISLE, PA 17013-2727
(717) 245-1835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN227137L
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
TP000441G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA1515645
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/26/2005
Last updated
10/27/2007
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