Provider Demographics
NPI:1972905529
Name:FLANDERS, SIENNA E (LM, CPM)
Entity Type:Individual
Prefix:
First Name:SIENNA
Middle Name:E
Last Name:FLANDERS
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 1:4 WOODROW AVE
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-2441
Mailing Address - Country:US
Mailing Address - Phone:802-234-1384
Mailing Address - Fax:
Practice Address - Street 1:654 GRANGER RD
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-5369
Practice Address - Country:US
Practice Address - Phone:802-234-1384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT107-0101449176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife