Theresa Marie Cirocco
Nurse Practitioner - Adult Health
2799 W Grand Blvd Rm E235
Detroit
, Michigan 48202-2608
Theresa Marie Cirocco
Nurse Practitioner - Adult Health
2799 W Grand Blvd Rm E235
Detroit
, Michigan 48202-2608
(734) 953-2665
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Theresa Marie Cirocco
- 11919 Chase Blvd
- Livonia, MI
- Zip : 48150-5039
- Phone : (734) 953-2665
Second Address
- Theresa Marie Cirocco
- 2799 W Grand Blvd Rm E235
- Detroit, MI
- Zip : 48202-2608
- Fax : (313) 916-8416
- Phone : (313) 916-2417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 4704168297 | MI |
National Provider Identifier
| NPI | 1023172699 |
|---|---|
| Provider Name | Theresa Marie Cirocco |
| First Address | Livonia, MI 48150-5039 |
| Second Address | Detroit, MI 48202-2608 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 08/07/2007 |
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.