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NPI Code Detail

MEDICARE: NICHOLAS PATRICK CIFERNO PMHNP-BC

MEDICARE: NICHOLAS PATRICK CIFERNO PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0042354OH

General Provider Information

NPI Number : 1184083032
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS PATRICK CIFERNO PMHNP-BC
Provider Business Mailing Address
First Line : 321 NILES CORTLAND RD NE
Second Line :
City : WARREN
State : OH
Zip : 44484-1974
Country : US
Telephone Number : 503-307-4428
Fax Number :
Provider Business Practice Location Address
First Line : 321 NILES CORTLAND RD NE
Second Line :
City : WARREN
State : OH
Zip : 44484-1974
Country : US
Telephone Number : 330-355-3234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2016
Last Update Date : 06/11/2026

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Directions to “ NICHOLAS PATRICK CIFERNO PMHNP-BC” Practice Location

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