Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN-2863 | HI |
N | 363LA2100X | Nurse Practitioner - Acute Care | CNP03513 | NM |
NPI | 1003896556 |
---|---|
Provider Name | Christina Nicole Sieberer |
First Address | Honolulu, HI 96813-2499 |
Second Address | Honolulu, HI 96813-2499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 04/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD000 | (02) |