Healthcare Provider Details

I. General information

NPI: 1831852789
Provider Name (Legal Business Name): SYDNEY GIRLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYDNEY HAYDEN

II. Dates (important events)

Enumeration Date: 10/18/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 10TH ST SE
CEDAR RAPIDS IA
52403-2414
US

IV. Provider business mailing address

202 10TH ST SE STE 165
CEDAR RAPIDS IA
52403-2433
US

V. Phone/Fax

Practice location:
  • Phone: 319-297-2900
  • Fax: 866-274-5194
Mailing address:
  • Phone: 319-297-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: