Siebert, Mitzi Marie

Siebert, Mitzi Marie is an individual health care provider with primary practice located at 1906 W 3600 S , West Valley City UT 84119-4715. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Siebert, Mitzi Marie can be contacted via phone (801) 973-9675.

Contact Information

Primary practice address
1906 W 3600 S West Valley City UT 84119-4715
Fax: (801) 973-0379
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 208935-4405 Utah

Profile Details

NPI number 1962497768
LBN Legal business name Siebert, Mitzi Marie
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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