IndividualActive
Diane Cichy, AG-ACNP
NPI 1871040287 · Critical Care Medicine Nurse Practitioner · Avon, CT
Provider details
- NPI number
- 1871040287
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- No
- License
- 6575 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
20 W Avon Rd Ste 202
Avon, CT 06001-3677
Phone: (860) 866-8982
Approximate (ZIP-level) locationGet directions
Mailing address
20 W Avon Rd Ste 202
Avon, CT 06001-3677
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.