Provider Demographics
NPI:1609183300
Name:SIGGIA, THERESE MARIE (RN BSN)
Entity Type:Individual
Prefix:
First Name:THERESE
Middle Name:MARIE
Last Name:SIGGIA
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:THERESE
Other - Middle Name:MARIE
Other - Last Name:GUZIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:8601 N BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1942
Mailing Address - Country:US
Mailing Address - Phone:330-990-0696
Mailing Address - Fax:
Practice Address - Street 1:8601 N BEDFORD RD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1942
Practice Address - Country:US
Practice Address - Phone:330-990-0696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 229162163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health