Basic Information
| Provider Information | |||||||||
| NPI: | 1386749901 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIBERT | ||||||||
| FirstName: | LEIGH ANNE | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | RN MSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 252 CHAPMAN ROAD | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197025438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3023667665 | ||||||||
| FaxNumber: | 3023660734 | ||||||||
| Practice Location | |||||||||
| Address1: | BUILDING B-86 | ||||||||
| Address2: | OMEGA PROFESSIONAL CENTER | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197136004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3023667665 | ||||||||
| FaxNumber: | 3023660734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2006 | ||||||||
| LastUpdateDate: | 11/09/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364S00000X | LN0000110 | DE | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
No ID Information.