Individual
MARIA LUISA CICCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
6624 FANNIN ST, HOUSTON, TX 77030-2312
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
889624
TX
363LA2100X
Acute Care Nurse Practitioner
AP129826
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP129826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356490804
—
TX
Enumeration date
08/15/2014
Last updated
03/18/2025
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