Laurence Cecilio
Nurse Practitioner - Acute Care
1200 B Gale Wilson Blvd
Fairfield
, California 94533-3552
Laurence Cecilio
Nurse Practitioner - Acute Care
1200 B Gale Wilson Blvd
Fairfield
, California 94533-3552
(317) 388-0800
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Laurence Cecilio
- 5980 W 71st St Ste 102
- Indianapolis, IN
- Zip : 46278-1785
- Phone : (317) 388-0800
Second Address
- Laurence Cecilio
- 1200 B Gale Wilson Blvd
- Fairfield, CA
- Zip : 94533-3552
- Phone : (707) 646-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 95011502 | CA |
National Provider Identifier
| NPI | 1023436813 |
|---|---|
| Provider Name | Laurence Cecilio |
| First Address | Indianapolis, IN 46278-1785 |
| Second Address | Fairfield, CA 94533-3552 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2014 |
| Last Update Date | 02/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.