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NPI Code Detail

MEDICARE: ANGELA E SISON CCC-A, RN

MEDICARE: ANGELA E SISON CCC-A, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist00004635WA
2163W00000XRegistered Nurse0001296040VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306820204
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA E SISON CCC-A, RN
Provider Business Mailing Address
First Line : 30 HUNTER LN
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-2400
Country : US
Telephone Number : 800-748-3243
Fax Number :
Provider Business Practice Location Address
First Line : 30 HUNTER LN
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-2400
Country : US
Telephone Number : 800-748-3243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2005
Last Update Date : 11/19/2021

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