Provider Demographics
NPI:1932988243
Name:DENOVELLIS, CIERA (NP)
Entity Type:Individual
Prefix:
First Name:CIERA
Middle Name:
Last Name:DENOVELLIS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:WOMEN'S CANCER CARE ASSOCIATES, LLC
Mailing Address - Street 2:319 S. MANNING BLVD. SUITE 301
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:518-458-1390
Mailing Address - Fax:518-459-3271
Practice Address - Street 1:WOMEN'S CANCER CARE ASSOCIATES, LLC
Practice Address - Street 2:319 S. MANNING BLVD. SUITE 301
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-458-1390
Practice Address - Fax:518-694-8872
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY352333363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily