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NPI Code Detail

MEDICARE: CONNIE CERILLI CNP

MEDICARE: CONNIE CERILLI CNP
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
1363L00000XNurse PractitionerCOA 17342-NPOH

General Provider Information

NPI Number : 1760866750
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE CERILLI CNP
Provider Business Mailing Address
First Line : 14 ROSE AVE
Second Line :
City : NORWALK
State : OH
Zip : 44857-1002
Country : US
Telephone Number : 812-327-6002
Fax Number :
Provider Business Practice Location Address
First Line : 1 ELIZABETH PL
Second Line : SUITE 1155
City : DAYTON
State : OH
Zip : 45417-3445
Country : US
Telephone Number : 937-280-4970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2015
Last Update Date : 07/20/2015

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Directions to “ CONNIE CERILLI CNP” Practice Location

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