Provider Demographics
NPI:1356830681
Name:SIEPIERSKA, ANNA WIKTORIA (RNFA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:WIKTORIA
Last Name:SIEPIERSKA
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:WIKTORIA
Other - Last Name:GARRAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNFA
Mailing Address - Street 1:1130 HOBSON MILL DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8104
Mailing Address - Country:US
Mailing Address - Phone:224-622-3690
Mailing Address - Fax:
Practice Address - Street 1:4220 W 95TH ST STE 1000
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2793
Practice Address - Country:US
Practice Address - Phone:708-226-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041392866163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant