Basic Information
Provider Information
NPI: 1881738730
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIGARROA
FirstName: OFELIA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: RNC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 37 JACQUES ST
Address2:  
City: ELIZABETH
State: NJ
PostalCode: 072012712
CountryCode: US
TelephoneNumber: 9083548195
FaxNumber:  
Practice Location
Address1: 654 E JERSEY ST
Address2:  
City: ELIZABETH
State: NJ
PostalCode: 072061261
CountryCode: US
TelephoneNumber: 9089947582
FaxNumber: 9089947054
Other Information
ProviderEnumerationDate: 02/16/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X26NO05554500NJY Nursing Service ProvidersRegistered Nurse 

No ID Information.


Home