Individual provider · Type 1 NPI
Gerald Angelo Ciccotelli Jr., RN
General Practice Registered Nurse · Detroit, MI
NPI number
1689388282
Active
Practice location
4646 John R St
Detroit, MI 48201-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 4704187346 (MI) |
| Emergency Registered Nurse | 163WE0003X | 4704187346 (MI) |
General Practice Registered Nurse: Definition to come...
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About NPI 1689388282
Gerald Angelo Ciccotelli Jr., RN's National Provider Identifier is 1689388282, issued on Jan 9, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Detroit, MI. The record was last updated on Jan 9, 2023.