Ciccarello, Maria Luisa

Ciccarello, Maria Luisa is an individual health care provider with primary practice located at 6624 Fannin St , Houston TX 77030-2312. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Ciccarello, Maria Luisa can be contacted via phone (713) 442-0000.

Contact Information

Primary practice address
6624 Fannin St Houston TX 77030-2312
Phone: (713) 442-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 889624 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP129826 Texas
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X AP129826 Texas

Profile Details

NPI number 1528467438
LBN Legal business name Ciccarello, Maria Luisa
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2014
Last updated Mar 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528467438 NPPES
Texas MEDICAID 356490804

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