Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN CICERO, PHD, RN
Active Sole ProprietorDR. ETHAN CICERO, PHD, RN is a General Practice Nurse healthcare provider located in WATERTOWN, Massachusetts. NPI 1639934789 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · WATERTOWN, MA
Registration Details
- NPI Number
- 1639934789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2024 (2.504923599204 yrs)
- Last Updated
- Feb 3, 2025
- License
-
RN10003654 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
53 CARVER RDWATERTOWN, MA, 024721312Browse MA providers · Browse ZIP 02472
- Phone
- 5617030594
- Primary Specialty
-
General Practice Nurse
163WG0000X
Other General Practice Nurse Providers in WATERTOWN, MA
| Name | Credential | NPI |
|---|---|---|
| BELINDA JOY NABUKALU | — | 1922980291 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.