Individual
MS. KELLY ANNE SICOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3400 BROOKSIDE DR, CHARLOTTESVILLE, VA 22901-9566
(434) 270-6996
(855) 255-6149
Mailing address
3400 BROOKSIDE DR, CHARLOTTESVILLE, VA 22901-9566
(434) 270-6996
(855) 255-6149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024170125
VA
367A00000X
Advanced Practice Midwife
Primary
0024170125
VA
Other
Enumeration date
02/10/2012
Last updated
02/02/2017
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