Provider Demographics
NPI:1942711734
Name:SIASOYCO-DUBYK, MARICHU BATION (RN648134)
Entity Type:Individual
Prefix:MRS
First Name:MARICHU
Middle Name:BATION
Last Name:SIASOYCO-DUBYK
Suffix:
Gender:F
Credentials:RN648134
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-3403
Mailing Address - Country:US
Mailing Address - Phone:215-872-8038
Mailing Address - Fax:
Practice Address - Street 1:1208 BROAD ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-3403
Practice Address - Country:US
Practice Address - Phone:215-872-8038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN648134163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse