Provider Demographics
NPI:1184742611
Name:SIGLER, LAURA LEE (ARNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:SIGLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 GULF BREEZE PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-7803
Mailing Address - Country:US
Mailing Address - Phone:850-934-3441
Mailing Address - Fax:
Practice Address - Street 1:1118 GULF BREEZE PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-7803
Practice Address - Country:US
Practice Address - Phone:850-916-7766
Practice Address - Fax:850-916-5144
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2100202363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00418585OtherRR MCR
FLP00418585OtherRR MCR