Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Cicero, PHD, RN

Individual provider General Practice Registered Nurse · NPI 1639934789

Dr. Ethan Cicero, PHD, RN is a General Practice Registered Nurse in Watertown, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

53 Carver Rd
Watertown, MA 02472-1312
Phone: (561) 703-0594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence RN10003654 (MA)

Record details

NPI number1639934789
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , RN
Sole proprietorYes
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address53 Carver Rd, Watertown, MA 02472-1312

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