Cicely Andree Conway, LAC
Individual provider Active NPI Acupuncturist · White River Junction, VT
NPI 1427367010 · NPPES record last updated May 9, 2018
Key facts
- NPI
- 1427367010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 091.0134002 (VT)
- Practice address
- 18 N Main St
White River Junction, VT 05001-7062 - Phone
- (206) 412-0777
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091.0134002 | VT | MD | Acupuncturist |
| MA60130160 | WA | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA60130160 | WA | |
| Acupuncturist | 171100000X | 091.0134002 | VT | Yes |
Addresses
Primary practice location
18 N Main St
White River Junction, VT 05001-7062
Mailing address
18 N Main St
White River Junction, VT 05001-7062
Phone (206) 412-0777
Other practice location 1
6215 sycamore ave nw
seattle, WA 98107
Phone (925) 297-9519
Other providers in White River Junction, VT
- Kevin James Cole
- Carol B. Collier
- Deborah Ann Collins
- John Edward Connolly
- Sophia Natale Convertini
- Corner Drug Co,Inc
- Brenna Therese Corrigan
- Julia F Corsetti
- Timothy P Cox
- Ryan Matthew Crowley
All providers in White River Junction, VT · Acupuncturist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.