Ciccariello Fagan, Rose

Ciccariello Fagan, Rose is an individual health care provider with primary practice located at 3640 Colonel Glenn Hwy 051 Student Union, Dayton OH 45435-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ciccariello Fagan, Rose can be contacted via phone (937) 775-2552.

Contact Information

Primary practice address
3640 Colonel Glenn Hwy 051 Student Union Dayton OH 45435-0001
Phone: (937) 775-2552
Fax: (937) 775-3260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0198739-22 Ohio

Profile Details

NPI number 1184896714
LBN Legal business name Ciccariello Fagan, Rose
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Apr 1st, 2009 - about 17 years ago

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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