Basic Information
Provider Information
NPI: 1003863028
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIGLER
FirstName: GINNY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4426 LACEY OAK DR
Address2:  
City: PALM BEACH GARDENS
State: FL
PostalCode: 334106106
CountryCode: US
TelephoneNumber: 5616241640
FaxNumber:  
Practice Location
Address1: 1250 SOUTHWINDS DR
Address2:  
City: LANTANA
State: FL
PostalCode: 334621459
CountryCode: US
TelephoneNumber: 5615476800
FaxNumber: 5615476865
Other Information
ProviderEnumerationDate: 05/27/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LX0001X669532FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


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