Provider Demographics
NPI:1194095802
Name:CIRIGLIANO, KELLY ANNE (RN)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ANNE
Last Name:CIRIGLIANO
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:18 JULIAND
Mailing Address - Street 2:BAINBRIDGE-GUILFORD CENTRAL SCHOOL DISTRICT
Mailing Address - City:BAINBRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:13733-1097
Mailing Address - Country:US
Mailing Address - Phone:607-967-6313
Mailing Address - Fax:607-967-4231
Practice Address - Street 1:18 JULIAND STREET
Practice Address - Street 2:BAINBRIDGE-GUILFORD CENTRAL SCHOOL DISTRICT
Practice Address - City:BAINBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:13733-1097
Practice Address - Country:US
Practice Address - Phone:607-967-6313
Practice Address - Fax:607-967-4231
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY602994163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse