| Doctor Name: | REBECCA KAY CICALE |
| NPI Number: | 1083096630 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 900453 |
| Business Practice Address: | 301 Lloyd St Carrboro, NC - 275101823 |
| Business Phone Number: | 9199338494 |
| Business Fax Number: | 9199339201 |
| Mailing Address: | 301 Lloyd St, CARRBORO |
| State: | NC |
| Postal Code: | 275101823 |
| Phone Number: | 9199338494 |
| Fax Number: | 9199339201 |
| NPI Enumeration Date: | 06/19/2015 |
| NPI Last Update Date: | 06/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | 900453 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |