Provider Demographics
NPI:1083499537
Name:SIGDEL, ANISHA NA (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:ANISHA
Middle Name:NA
Last Name:SIGDEL
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:ANISHA
Other - Middle Name:NA
Other - Last Name:SIGDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1216 DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-7409
Mailing Address - Country:US
Mailing Address - Phone:254-577-4880
Mailing Address - Fax:254-518-5300
Practice Address - Street 1:1216 DUNCAN RD
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-7409
Practice Address - Country:US
Practice Address - Phone:254-577-4880
Practice Address - Fax:254-518-5300
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130247363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health