SHELLEY SIBBOLD CPNP-PC NPI 1336519198

NPI Information

  • NPI: 1336519198
  • Provider Name: SHELLEY SIBBOLD, CPNP-PC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 4684 WENMAR DR
    SAGINAW, MI
    ZIP 48604
  • Phone: (989) 793-1095

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NPI Details

Shelley Sibbold, CPNP-PC is a pediatrics nurse practitioner in Saginaw, MI. Shelley Sibbold, CPNP-PC NPI is 1336519198. 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:

4684 WENMAR DR
SAGINAW, MI
ZIP 48604-817
Phone: (989) 793-1095
Fax: (989) 793-7649

The enumeration date for this NPI number is 10/5/2015 and was last updated on 3/30/2021.

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
1363LP0200XNurse PractitionerPediatrics4704279434MICHIGANYes

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: 11/21/2025

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