Individual
DIANE CICHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
20 W AVON RD STE 202, AVON, CT 06001-3677
(860) 866-8982
Mailing address
20 W AVON RD STE 202, AVON, CT 06001-3677
(860) 966-0070
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
6575
CT
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
006575
CT
Other
Enumeration date
09/01/2016
Last updated
02/27/2025
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