Provider Demographics
NPI:1598502429
Name:GICIRO, JOYCE JOLIE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:JOLIE
Last Name:GICIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 W CAPITOL AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1375
Mailing Address - Country:US
Mailing Address - Phone:701-388-8453
Mailing Address - Fax:
Practice Address - Street 1:1121 W CAPITOL AVE APT 101
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-1375
Practice Address - Country:US
Practice Address - Phone:701-388-8453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR52152163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health