| NPI | 1457446429 |
|---|---|
| Former Name | CARRIE R CICHOCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH NP-10530) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN290702/PNS00030) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI RN40515/Npp37250) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN25645) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH NS-10529) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-04-07 |