| Doctor Name: | ELIZABETH HAMILTON SIBERT |
| NPI Number: | 1053413385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 0110002230 |
| Business Practice Address: | 11130 Sunrise Valley Dr #150 Reston, VA - 201914398 |
| Business Phone Number: | 7032620100 |
| Business Fax Number: | 7032620333 |
| Mailing Address: | 14716 Cranoke St, CENTREVILLE |
| State: | VA |
| Postal Code: | 201201523 |
| Phone Number: | 7034036471 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 07/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110002230 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |