Provider Demographics
NPI:1609162510
Name:SITES, JAMES WESLEY (CRNFA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WESLEY
Last Name:SITES
Suffix:
Gender:M
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 ECKO LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-6532
Mailing Address - Country:US
Mailing Address - Phone:636-405-2656
Mailing Address - Fax:
Practice Address - Street 1:2106 HICKORY SUMMIT CT
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63011-5402
Practice Address - Country:US
Practice Address - Phone:636-405-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO126540163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant