Provider Demographics
NPI:1437330214
Name:SIENZANT, CAROLYN A (PA-C)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:A
Last Name:SIENZANT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:A
Other - Last Name:ZERBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 WALNUT ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1168
Mailing Address - Country:US
Mailing Address - Phone:717-761-0208
Mailing Address - Fax:717-761-2023
Practice Address - Street 1:4807 JONESTOWN RD
Practice Address - Street 2:SUITE 141
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1739
Practice Address - Country:US
Practice Address - Phone:717-657-3030
Practice Address - Fax:717-671-0991
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053129363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA223945D2MMedicare PIN