Individual provider · Type 1 NPI
Anna Cicciarelli, APN
Nurse Practitioner · Peoria, IL
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0052
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 041366482 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209-009828 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1942557285
Anna Cicciarelli, APN's National Provider Identifier is 1942557285, issued on Aug 6, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Mar 7, 2024.