Individual
LAURA KATHRYN CICCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
1522 BUSH ST, SAN FRANCISCO, CA 94109-5420
(415) 821-1282
Mailing address
678 WALLER ST, SAN FRANCISCO, CA 94117-3321
(401) 524-8968
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
NP95017519
CA
367A00000X
Advanced Practice Midwife
Primary
NMW236194
CA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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