Provider Demographics
NPI:1215370051
Name:SIGHTLER, VIRGINIA S (RN)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:S
Last Name:SIGHTLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 OLD LEXINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-9759
Mailing Address - Country:US
Mailing Address - Phone:803-575-5709
Mailing Address - Fax:
Practice Address - Street 1:1130 OLD LEXINGTON HWY
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-9759
Practice Address - Country:US
Practice Address - Phone:803-575-5709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC75212163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse