Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW010547 | PA |
NPI | 1093369027 |
---|---|
Provider Name | Crystal Elizabeth Sigmund |
First Address | Warren, PA 16365-4682 |
Second Address | Warren, PA 16365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2019 |
Last Update Date | 06/10/2020 |