Provider Demographics
NPI:1265518435
Name:ESPINO, CECILIA PICCIO (BSN)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:PICCIO
Last Name:ESPINO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:PAMA
Other - Last Name:PICCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN
Mailing Address - Street 1:24158 WARNER ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091
Mailing Address - Country:US
Mailing Address - Phone:586-203-8373
Mailing Address - Fax:
Practice Address - Street 1:16001 W 9 MILE ROAD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-849-3306
Practice Address - Fax:248-849-5378
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704099953163WH1000X, 163WM0705X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WH1000XNursing Service ProvidersRegistered NurseHospice
Not Answered163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult