SARA J SIEDENBURG CPNP NPI 1063420446

NPI Information

NPI: 1063420446
Provider Name: SARA J SIEDENBURG, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3239 N 9TH ST
MILWAUKEE, WI
ZIP 53206
Phone: (414) 264-0465
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Sara J Siedenburg, CPNP is a pediatrics nurse practitioner in Milwaukee, WI. Sara J Siedenburg, CPNP NPI is 1063420446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3239 N 9TH ST
MILWAUKEE, WI
ZIP 53206-251
Phone: (414) 264-0465
Fax: (414) 264-2629

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	886-033	WISCONSIN	Yes
2	163W00000X	Registered Nurse			WISCONSIN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01750	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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