person
Cecilia Lynn Iacoviello, FNP,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Ridgecrest, California
NPI 1003140336

Cecilia Lynn Iacoviello is a Psychiatric/Mental Health Nurse Practitioner based in Ridgecrest, CA and is specialized in Psychiatric/Mental Health. Cecilia Lynn Iacoviello practices in Ridgecrest, CA and has the professional credentials of FNP,PMHNP. The NPI Number for Cecilia Lynn Iacoviello is 1003140336 and holds a License No. 18942 (California).

The current practice location address for Cecilia Lynn Iacoviello is 1111 N China Lake Blvd Ste 190, Ridgecrest, CA and can be reached out via phone at 760-499-3855 and via fax at 760-499-3870.

Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA, 93555-3130
person
Provider Profile Details
NPI Number
1003140336
Provider Name
Cecilia Lynn Iacoviello
Credential
FNP,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1111 N China Lake Blvd Ste 190, Ridgecrest, CA, 93555-3130
Phone Number
760-499-3855
Fax Number
760-499-3870
Provider Enumeration Date
09/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 N China Lake Blvd Ste 190
City
State
Zip
93555-3131
Phone Number
760-499-3855
Fax Number
760-499-3870
person
Provider Business Mailing Address Details
Address
1111 N China Lake Blvd Ste 190
City
State
Zip
93555-3131
Phone Number
760-499-3855
Fax Number
760-499-3870
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP18942 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
18942 (California)
Definition
Definition to come...
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