Individual provider · Type 1 NPI
Ethan Cicero, PhD, RN
General Practice Registered Nurse · Watertown, MA
NPI number
1639934789
Active
Practice location
53 Carver Rd
Watertown, MA 02472-1312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN10003654 (MA) |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in Watertown
About NPI 1639934789
Ethan Cicero, PhD, RN's National Provider Identifier is 1639934789, issued on Feb 19, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Watertown, MA. The record was last updated on Feb 3, 2025.