Provider Demographics
NPI:1912614108
Name:SEIFERT, SYDNEY (PA)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 N HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3333
Mailing Address - Country:US
Mailing Address - Phone:303-590-8041
Mailing Address - Fax:
Practice Address - Street 1:3915 N HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3333
Practice Address - Country:US
Practice Address - Phone:303-590-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant