Individual provider · Type 1 NPI
Domenic Joseph Cancilla, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Toledo, OH
NPI number
1487318713
Active
Practice location
2005 Ashland Ave
Toledo, OH 43620-1703
Fax (419) 841-1691
Other practice locations
- 2600 Navarre Ave, Oregon, OH 43616-3207 · (419) 696-8800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0030043 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1487318713
Domenic Joseph Cancilla, PMHNP-BC's National Provider Identifier is 1487318713, issued on Oct 22, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Toledo, OH. The record was last updated on Jun 27, 2024.