Cicero, Terry

Cicero, Terry is an individual health care provider with primary practice located at 12333 Ne 130Th Lane Suite 500, Kirkland WA 98034. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cicero, Terry can be contacted via phone (425) 353-3788.

Contact Information

Primary practice address
12333 Ne 130Th Lane Suite 500 Kirkland WA 98034
Phone: (425) 353-3788
Fax: (425) 353-8041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN00055726 Washington

Profile Details

NPI number 1699875005
LBN Legal business name Cicero, Terry
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Nov 19th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699875005 NPPES
Washington MEDICAID 9607011

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