Provider Demographics
NPI:1073539268
Name:CICALE, SHIRLEE (FNP)
Entity type:Individual
Prefix:
First Name:SHIRLEE
Middle Name:
Last Name:CICALE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 FRANKLIN AVENUE: FPC
Mailing Address - Street 2:NH LEMOORE
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-0000
Mailing Address - Country:US
Mailing Address - Phone:559-998-2749
Mailing Address - Fax:559-998-2815
Practice Address - Street 1:937 FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93246-4700
Practice Address - Country:US
Practice Address - Phone:559-998-4262
Practice Address - Fax:559-998-2815
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA272154363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner