Provider Demographics
NPI:1053957282
Name:CICCHITTO, ALLISON TAYLOR (PA-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:TAYLOR
Last Name:CICCHITTO
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:TAYLOR
Other - Last Name:ZELLEFROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1 NOLTE DR
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-7111
Mailing Address - Country:US
Mailing Address - Phone:412-655-4362
Mailing Address - Fax:412-653-7684
Practice Address - Street 1:1 NOLTE DR
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7111
Practice Address - Country:US
Practice Address - Phone:724-543-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-22
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA005121363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant