Individual
JENNIFER CILIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 PARK ST, HONESDALE, PA 18431-1498
(570) 253-8112
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN518149L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077139VKC
MEDICARE NOVITAS
PA
01
—
P01244552
RAILROAD MEDICARE
PA
Enumeration date
05/27/2006
Last updated
03/26/2024
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