Provider Demographics
NPI:1497908214
Name:SICIGNANO, RENEE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SICIGNANO
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23548 LYONS AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5772
Mailing Address - Country:US
Mailing Address - Phone:661-254-3000
Mailing Address - Fax:661-630-4427
Practice Address - Street 1:23548 LYONS AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-5772
Practice Address - Country:US
Practice Address - Phone:661-254-3000
Practice Address - Fax:661-630-4427
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife