MR. DAFE BENEDICT SIEBERE RN BSN NPI 1356835797

NPI Information

NPI: 1356835797
Provider Name: MR. DAFE BENEDICT SIEBERE, RN, BSN
Classification: Registered Nurse - 163WH0500X
Entity Type: Individual

Specialization: Hemodialysis

Address:
5402 LAUREL RIDGE DR
ALPHARETTA, GA
ZIP 30005
Phone: (773) 653-7744
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MR. Dafe Benedict Siebere, RN, BSN is a hemodialysis registered nurse in Alpharetta, GA. MR. Dafe Benedict Siebere, RN, BSN NPI is 1356835797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5402 LAUREL RIDGE DR
ALPHARETTA, GA
ZIP 30005-606
Phone: (773) 653-7744

The enumeration date for this NPI number is 6/19/2018 and was last updated on 6/19/2018.

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	163W00000X	Registered Nurse		RN235141	GEORGIA	No
2	163WD1100X	Registered Nurse	Dialysis, Peritoneal	RN235141	GEORGIA	No
3	163WH0500X	Registered Nurse	Hemodialysis	RN235141	GEORGIA	Yes
4	163WI0500X	Registered Nurse	Infusion Therapy	RN235141	GEORGIA	No

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	RN235141	OTHER	GEORGIA	REGISTERED PROFESSIONAL NURSE

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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