Organization
FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN M CICCHIELLO NP (EXECUTIVE)
(570) 875-9434
Entity
Organization
Contact information
Practice address
601 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-9434
Mailing address
601 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-9434
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
TP006931C
PA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
SP009839
PA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/12/2015
Last updated
08/20/2015
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