| Doctor Name: | JANET M SICILIANO |
| NPI Number: | 1598722308 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R 125575-7 |
| Business Practice Address: | 11269 Jefferson Hwy N Champlin, MN - 553163123 |
| Business Phone Number: | 6124279620 |
| Business Fax Number: | 6122479626 |
| Mailing Address: | 2925 Chicago Ave, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554071321 |
| Phone Number: | 6122624813 |
| Fax Number: | 6122624194 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R 125575-7 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |