Provider Demographics
NPI:1114920212
Name:CICALE, ANNE E (APRN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:CICALE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 MOREHOUSE HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-2713
Mailing Address - Country:US
Mailing Address - Phone:203-374-6366
Mailing Address - Fax:
Practice Address - Street 1:NP RESOURCES, LLC
Practice Address - Street 2:SIX CORPORATE DRIVE, SUITE 420
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484
Practice Address - Country:US
Practice Address - Phone:203-925-9600
Practice Address - Fax:203-926-0594
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002721363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004244878Medicaid
CTP92987Medicare UPIN
CT004244878Medicaid