Provider Demographics
NPI:1225575517
Name:BISEK, SYLVIA CECILE (RN)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:CECILE
Last Name:BISEK
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 1:1901 W 270TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW PRAGUE
Mailing Address - State:MN
Mailing Address - Zip Code:56071-9129
Mailing Address - Country:US
Mailing Address - Phone:952-686-8899
Mailing Address - Fax:
Practice Address - Street 1:1901 W 270TH ST
Practice Address - Street 2:
Practice Address - City:NEW PRAGUE
Practice Address - State:MN
Practice Address - Zip Code:56071-9129
Practice Address - Country:US
Practice Address - Phone:952-686-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN242054-9163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn