Clare E Cicconi, PA-C
Physician Assistant in Saint Paul, Minnesota
1508205386- Practice location
- 640 Jackson St, Saint Paul, MN 55101-2502
- Phone
- 651-254-3456
- Fax
- 651-254-9673
- Last updated
- January 16, 2020
Clare Elizabeth Cicconi is a Physician Assistant based in Saint Paul, MN. Clare Elizabeth Cicconi practices in Saint Paul, MN and has the professional credentials of PA-C. The NPI Number for Clare Elizabeth Cicconi is 1508205386 and holds a License No. 12881 (MN). The current practice location address for Clare Elizabeth Cicconi is 640 Jackson St, Saint Paul, MN 55101-2502 and can be reached out via phone at 651-254-3456 and via fax at 651-254-9673.
Provider Profile Details
- NPI Number
- 1508205386
- Provider Name
- Clare Elizabeth Cicconi
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 640 Jackson St, Saint Paul, MN 55101-2502
- Phone Number
- 651-254-3456
- Fax Number
- 651-254-9673
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 14, 2013
- Last Update Date
- January 16, 2020
- Certification Date
- January 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 640 Jackson St
Saint Paul, MN 55101-2502 - City
- Saint Paul
- State
- Minnesota
- Zip
- 55101-2502
- Phone Number
- 651-254-3456
- Fax Number
- 651-254-9673
Provider Business Mailing Address Details
- Address
- 8170 33RD Ave S # Ms 21110Q
Bloomington, MN 55425-4516 - City
- Bloomington
- State
- MN
- Zip
- 55425-4516
- Phone Number
- 651-254-3456
- Fax Number
- 651-254-9673
License Information
- License Number
- 12881
- License State
- MN
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clare E Cicconi, PA-C?
The NPI number of Clare E Cicconi, PA-C is 1508205386. It was assigned on June 14, 2013 and is currently active in the NPPES registry.
What is the specialty of Clare E Cicconi, PA-C?
Clare E Cicconi, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MN under license number 12881.
Where does Clare E Cicconi, PA-C practice?
The practice location is 640 Jackson St, Saint Paul, MN 55101-2502. The office can be reached at 651-254-3456 (phone) or 651-254-9673 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508205386 directly on the NPPES registry website.