person
Domenic Joseph Cancilla, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Oregon, Ohio
NPI 1487318713

Domenic Joseph Cancilla is a Psychiatric/Mental Health Nurse Practitioner based in Oregon, OH and is specialized in Psychiatric/Mental Health. Domenic Joseph Cancilla practices in Oregon, OH and has the professional credentials of PMHNP-BC. The NPI Number for Domenic Joseph Cancilla is 1487318713 and holds a License No. APRN.CNP.0030043 (Ohio).

The current practice location address for Domenic Joseph Cancilla is 2600 Navarre Ave, Oregon, OH and can be reached out via phone at 419-696-8800.

Location: 2600 Navarre Ave, Oregon, OH, 43616-3207
person
Provider Profile Details
NPI Number
1487318713
Provider Name
Domenic Joseph Cancilla
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
2600 Navarre Ave, Oregon, OH, 43616-3207
Phone Number
419-696-8800
Fax Number
Provider Enumeration Date
10/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2600 Navarre Ave
City
State
Zip
43616-3207
Phone Number
419-696-8800
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Navarre Ave
City
State
Zip
43616-3207
Phone Number
419-696-8800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APRN.CNP.0030043 (Ohio)
Definition
Definition to come...
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