Provider Demographics
NPI:1811614720
Name:SIGLER, SIERRA (NP)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:SIGLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 COUNTY ROAD 250 N
Mailing Address - Street 2:
Mailing Address - City:NORRIS CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62869-3914
Mailing Address - Country:US
Mailing Address - Phone:618-384-7504
Mailing Address - Fax:
Practice Address - Street 1:1306 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ELDORADO
Practice Address - State:IL
Practice Address - Zip Code:62930-1662
Practice Address - Country:US
Practice Address - Phone:618-297-9665
Practice Address - Fax:618-297-9638
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.027132363L00000X
IN71013196A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner