Provider Demographics
NPI:1215365986
Name:SIEBERT, BARBARA MARY (DNP, CRNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARY
Last Name:SIEBERT
Suffix:
Gender:F
Credentials:DNP, CRNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7504
Mailing Address - Country:US
Mailing Address - Phone:267-304-5526
Mailing Address - Fax:215-596-7621
Practice Address - Street 1:600 S 43RD ST
Practice Address - Street 2:WHITECAR HALL SUITE 1200, BOX 23
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4418
Practice Address - Country:US
Practice Address - Phone:215-596-8980
Practice Address - Fax:215-596-7621
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP001224B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily