IndividualActive
Abigail Cicero, PA-C
NPI 1649813700 · Physician Assistant · Mentor, OH
Provider details
- NPI number
- 1649813700
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 50.006245RX (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8655 Market St Ste 200
Mentor, OH 44060-4170
Phone: (440) 255-7938
Approximate (ZIP-level) locationGet directions
Mailing address
9432 Whalers Cv
Mentor, OH 44060-4576
Registry dates
- Enumerated
- 2019-10-22
- Last updated
- 2021-02-25
- Certified
- 2021-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.