Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERALD ANGELO CICCOTELLI JR., RN
Active Sole ProprietorGERALD ANGELO CICCOTELLI JR., RN is a General Practice Nurse healthcare provider located in DETROIT, Michigan. NPI 1689388282 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · DETROIT, MI
Registration Details
- NPI Number
- 1689388282
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2023 (3.6187902906575 yrs)
- Last Updated
- Jan 9, 2023
- Licenses
-
4704187346 (MI)4704187346 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4646 JOHN R STDETROIT, MI, 482011916Browse MI providers · Browse ZIP 48201
- Phone
- 3135761000
- Primary Specialty
-
General Practice Nurse
163WG0000X
- Additional Specialty
- Emergency Nurse
Other General Practice Nurse Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. DONNA NEALOUS BROWN | RN | 1730296070 |
| TONYA MORRIS | REGISTERED NURSE | 1841745262 |
| TANIKA ARNOLD | RN | 1336640903 |
| ANDREA MICHELLE MARSHALL-DIVER | — | 1184265639 |
| MS. SHELLY CROMERKENNEDY | RN | 1265033831 |
| FRANKIE DIJONNAY ANNA-MARIE JACKSON | — | 1467042002 |
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.