Family Practice
NPI #1407237696 in Mount Carmel, Pennsylvania
Provider Information
- NPI Number
- 1407237696
- Entity Type
- Organization
- Organization Name
- Family Practice
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Jun 12, 2015
- Last Updated
- Aug 20, 2015
Practice Location
- Address
- 601 W 5TH ST
- City
- Mount Carmel
- State
- Pennsylvania
- ZIP Code
- 17851-1803
- Phone
- (570) 875-9434
Authorized Official
- Name
- JOAN M CICCHIELLO, NP
- Title
- EXECUTIVE
- Phone
- (570) 875-9434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Adult Health — Adult Health |
| Clinical Nurse Specialist - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult |
| Nurse Practitioner - Adult Health — Adult Health |
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