Provider Demographics
NPI:1790876795
Name:SIEBER, KAREN LEIGH (FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEIGH
Last Name:SIEBER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 BRAZOS AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76567-2517
Mailing Address - Country:US
Mailing Address - Phone:512-446-4500
Mailing Address - Fax:512-446-2063
Practice Address - Street 1:602 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKDALE
Practice Address - State:TX
Practice Address - Zip Code:76567-2323
Practice Address - Country:US
Practice Address - Phone:512-446-4555
Practice Address - Fax:512-446-4533
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX0370960-22164W00000X
TX530180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse