DR. ETHAN CICERO PHD RN NPI 1639934789

NPI Information

NPI: 1639934789
Provider Name: DR. ETHAN CICERO, PHD, RN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
46 MURRAY HILL RD
ROSLINDALE, MA
ZIP 02131
Phone: (561) 703-0594
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DR. Ethan Cicero, PHD, RN is a general practice registered nurse in Roslindale, MA. DR. Ethan Cicero, PHD, RN NPI is 1639934789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

46 MURRAY HILL RD
ROSLINDALE, MA
ZIP 02131-510
Phone: (561) 703-0594

The enumeration date for this NPI number is 2/19/2024 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	RN10003654	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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