MEDICARE: ANNE E CICALE APRN

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
1	363LF0000X	Family Nurse Practitioner	002721	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114920212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE E CICALE APRN

Provider Business Mailing Address
First Line	:	334 MOREHOUSE HWY
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06825-2713
Country	:	US
Telephone Number	:	203-374-6366
Fax Number	:

Provider Business Practice Location Address
First Line	:	NP RESOURCES, LLC
Second Line	:	SIX CORPORATE DRIVE, SUITE 420
City	:	SHELTON
State	:	CT
Zip	:	06484
Country	:	US
Telephone Number	:	203-925-9600
Fax Number	:	203-926-0594

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/07/2023

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Directions to “ ANNE E CICALE APRN” Practice Location

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