Peter Casimir Ciechanowski, APRN
Nurse Practitioner, Family in Melbourne, FL. Individual provider (NPI-1).
NPI number1982309795
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1982309795
- Entity type
- Individual (NPI-1)
- Name
- Mr. Peter Casimir Ciechanowski
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 1, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11025562 | FL | Yes |
Practice location
1900 S Harbor City Blvd Ste 225Melbourne, FL 32901-4789
Phone 321-216-2288
Mailing address
13850 83rd StFellsmere, FL 32948-6267
Phone 412-758-1035
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