| Organization Name: | FAMILY PRACTICE |
| NPI Number: | 1407237696 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOAN M CICCHIELLO (EXECUTIVE) |
| Mailing Address: | 601 W 5th St Mount Carmel |
| State: | PA US |
| Postal Code: | 178511803 |
| Phone Number: | 5708759434 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2015 |
| NPI Last Update Date: | 08/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | TP006931C |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |