Organization
TWILIGHT BEGINNINGS OF MT. CARMEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN M CICCHIELLO CRNP (SEC)
(570) 875-8058
Entity
Organization
Contact information
Practice address
35 WEST AVE, MOUNT CARMEL, PA 17851-1303
(570) 875-9434
(570) 554-4357
Mailing address
601 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-8058
(570) 554-4357
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
PA
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
10/22/2014
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