MR. DAFE BENEDICT SIEBERE


Address: 5402 Laurel Ridge Dr, Alpharetta, GA 30005-2606
Phone: 7736537744

MR. DAFE BENEDICT SIEBERE (NPI# 1356835797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356835797
Entity Type Individual
Full Name MR. DAFE BENEDICT SIEBERE
Credential RN, BSN
Practice Address 5402 Laurel Ridge Dr
Alpharetta
GA 30005-2606
Practice Telephone 7736537744
Mailing Telephone 7736537744
Enumeration Date 2018-06-19
Last Update Date 2018-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN235141 GA Nursing Service Providers
N 163WD1100X Registered Nurse
Specialization: Dialysis, Peritoneal
RN235141 GA Nursing Service Providers
Y 163WH0500X Registered Nurse
Specialization: Hemodialysis
RN235141 GA Nursing Service Providers
N 163WI0500X Registered Nurse
Specialization: Infusion Therapy
RN235141 GA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA REGISTERED PROFESSIONAL NURSE RN235141 01

Office Location

Street Address 5402 LAUREL RIDGE DR
City ALPHARETTA
State GA
Zip Code 30005-2606

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Taxonomy Information

Taxonomy Code 163WH0500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Hemodialysis

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609040070 Vannette Machelle Jones Registered Nurse 4318 Bath Edie Rd, Hephzibah, GA 30815-5594 2008-04-16
1932268240 Dialysis Care, LLC Registered Nurse 761 Mountain View Dr, Stone Mountain, GA 30083-3547 2006-12-06
1649896143 Monique Mellissa Hayles Registered Nurse 1199 Prince Ave, Athens, GA 30606-2797 2020-06-19
1255897575 Rochelle Deavis Hunt-khan Registered Nurse 950 15th St, Augusta, GA 30901-2608 2019-02-11
1437556016 Rhonda Serrette Registered Nurse 1275 Cleveland Ave, East Point, GA 30344-3433 2014-11-26

Competitor

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City ALPHARETTA
Zip Code 30005

Improve Information

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Dataset Information

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.

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