Provider Demographics
NPI:1457241473
Name:DICUIRCI, ELLEN MARIE (RN)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:MARIE
Last Name:DICUIRCI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 BUCKS LN
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-5722
Mailing Address - Country:US
Mailing Address - Phone:302-632-6190
Mailing Address - Fax:
Practice Address - Street 1:8554 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3268
Practice Address - Country:US
Practice Address - Phone:361-243-9481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1067152163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management