Provider Demographics
NPI:1528940657
Name:CILIBERTI, ALICIA MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIE
Last Name:CILIBERTI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 VIRGIN RUN RD
Mailing Address - Street 2:
Mailing Address - City:VANDERBILT
Mailing Address - State:PA
Mailing Address - Zip Code:15486-1138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:256 VIRGIN RUN RD
Practice Address - Street 2:
Practice Address - City:VANDERBILT
Practice Address - State:PA
Practice Address - Zip Code:15486-1138
Practice Address - Country:US
Practice Address - Phone:724-797-2519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant