Individual
ASHLEY BETH CICCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
14550 SOLEDAD CANYON RD, CANYON COUNTRY, CA 91387-2200
(661) 250-5200
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010703
CA
Other
Enumeration date
12/18/2018
Last updated
08/27/2021
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