Individual
MR. NICHOLAS ALLEN CIANCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, HOME BASED PRIMARY CARE, ROSEBURG, OR 97471
(541) 440-1264
(541) 440-1258
Mailing address
913 NW GARDEN VALLEY BLVD, HOME BASED PRIMARY CARE, ROSEBURG, OR 97471
(541) 440-1264
(541) 440-1258
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
201242302RN
OR
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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