Individual
ELIZABETH A DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. M.S.N.
Contact information
Practice address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
(724) 543-4177
Mailing address
111 HAZEL LN, SUITE 300, SEWICKLEY, PA 15143-1253
(412) 749-7613
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN189666L
PA
363L00000X
Nurse Practitioner
Primary
SP011225
PA
Other
Enumeration date
01/10/2007
Last updated
10/31/2018
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