Provider Demographics
NPI:1083468011
Name:SIEFRING, ANGELA
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:SIEFRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 STATE ROUTE 705
Mailing Address - Street 2:
Mailing Address - City:NEW WESTON
Mailing Address - State:OH
Mailing Address - Zip Code:45348-9735
Mailing Address - Country:US
Mailing Address - Phone:937-564-8726
Mailing Address - Fax:
Practice Address - Street 1:3700 STATE ROUTE 705
Practice Address - Street 2:
Practice Address - City:NEW WESTON
Practice Address - State:OH
Practice Address - Zip Code:45348-9735
Practice Address - Country:US
Practice Address - Phone:937-564-8726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide