Doctor Name: | LISA SIGTERMANS |
NPI Number: | 1104177112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PWH-NP |
License Number: | F421090-1 |
Business Practice Address: | 1 Atwell Rd Cooperstown, NY - 133261301 |
Business Phone Number: | 6075476982 |
Business Fax Number: | |
Mailing Address: | 493 Lawyersville Rd, COBLESKILL |
State: | NY |
Postal Code: | 120436310 |
Phone Number: | 5182343769 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | F421090-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |