BETTINA MARIE SIEBENECK (NPI# 1093079030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093079030 |
Entity Type | Individual |
Full Name | BETTINA MARIE SIEBENECK |
Credential | NP |
Practice Address |
5810 W Beverly Ln Glendale AZ 85306 |
Mailing Address |
Po Box 6423 Chandler AZ 85246-6423 |
Practice Telephone | 6233123000 |
Practice Fax Number | 6233123060 |
Mailing Telephone | 4808552224 |
Enumeration Date | 2012-06-25 |
Last Update Date | 2018-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP11384 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5810 W BEVERLY LN |
City | GLENDALE |
State | AZ |
Zip Code | 85306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023016573 | Patrick R Miller | Radiology | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2005-07-08 |
1851890222 | Amber Berleen | Nurse Practitioner | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2018-02-12 |
1528583341 | Sarah Hilt | Social Worker | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2017-08-14 |
1174895841 | Zabita Singh | Internal Medicine | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2012-01-27 |
1659607844 | Christine Saraceni | Internal Medicine | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2009-10-23 |
1588891667 | Amikar Sehdev | Internal Medicine | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2009-06-16 |
1013184423 | Murali G Murty | Radiology | 5810 W Beverly Ln, Glendale, AZ 85306 | 2008-05-14 |
1427225986 | Andrei Balandin | Internal Medicine | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2008-05-14 |
1508046905 | Rashmi Pradhan Vaidya | Surgery | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2007-11-14 |
1174731046 | Sayeema Daudi | Obstetrics & Gynecology | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2007-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
Find all providers in zip 85306 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770199481 | Steven Cleo Northern Jr. | Nurse Practitioner | 5820 W Greenway Rd Ste 124, Glendale, AZ 85306-3308 | 2020-09-17 |
1609493279 | Traci Marie Miramontes | Nurse Practitioner | 6001 W Northview Ave, Glendale, AZ 85301-1857 | 2020-06-30 |
1669097697 | Swazi Cromwell | Nurse Practitioner | 13408 N 53rd Ave, Glendale, AZ 85304-1378 | 2020-06-16 |
1922620590 | Bethany E Mainville | Nurse Practitioner | 8151 W Sierra Vista Dr, Glendale, AZ 85303-3217 | 2020-05-17 |
1184252678 | Revive Wellness and Rejuvenation LLC | Nurse Practitioner | 20229 N 67th Ave Ste C-a, Glendale, AZ 85308-6664 | 2020-03-30 |
1083247316 | Anna Lazzaro | Nurse Practitioner | 4760 W Ponderosa Ln, Glendale, AZ 85308-4872 | 2020-02-14 |
1760021422 | Judy Fong | Nurse Practitioner | 5220 W Dahlia Dr, Glendale, AZ 85304-1931 | 2019-12-29 |
1588207138 | Kristen Mitchell | Nurse Practitioner | 6922 W Kristal Way, Glendale, AZ 85308-5772 | 2019-10-25 |
1760038335 | Adrineh Kalantar Ohanian | Nurse Practitioner | 1139 E Lexington Dr, Glendale, CA 91206-3861 | 2019-08-09 |
1457904252 | Debra Goldman | Nurse Practitioner | 20325 N 51st Ave # 8, Glendale, AZ 85308-5674 | 2019-07-20 |
Find all providers in GLENDALE |
Please comment or provide details below to improve the information on BETTINA MARIE SIEBENECK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.