MITZI MARIE SIEBERT (NPI# 1962497768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962497768 |
| Entity Type | Individual |
| Full Name | MITZI MARIE SIEBERT |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1906 W 3600 S West Valley City UT 84119-4715 |
| Mailing Address |
7317 Marinda Way Salt Lake City UT 84121-4420 |
| Practice Telephone | 8019739675 |
| Practice Fax Number | 8019730379 |
| Mailing Telephone | 8019420944 |
| Mailing Fax Number | 8019420944 |
| Enumeration Date | 2005-09-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
208935-4405 | UT | Nursing Service Providers |
| Street Address |
1906 W 3600 S |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687983 | Valerie Rebekah Birdsall | Nurse Practitioner | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2018-11-08 |
| 1881010874 | Planned Parenthood Association of Utah | Pharmacy | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2014-03-14 |
| 1205140043 | Suzanne O'rourke Rothberg | Nurse Practitioner | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2010-08-04 |
| 1326372764 | Heather Missy Berkel | Nurse Practitioner | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 163WW0101X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Women's Health Care, Ambulatory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427609403 | Natalie R Morris | Registered Nurse | 5121 S Cottonwood St Ste 170, Murray, UT 84107-5701 | 2019-09-22 |
| 1336799956 | Kamille Boston Crockett | Registered Nurse | 757 W Telegraph St Ste 125, Washington, UT 84780-1533 | 2019-09-16 |
| 1699186130 | Ann-therese Guillory | Registered Nurse | 7329 Balmer St Bldg 546, Hill Afb, UT 84056-5012 | 2014-05-19 |
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
Please comment or provide details below to improve the information on MITZI MARIE SIEBERT.
| 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.