Healthcare Provider Details

I. General information

NPI: 1841945888
Provider Name (Legal Business Name): RYLEE M SIGWARTH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 LAKE RIDGE DR
DUBUQUE IA
52003-7864
US

IV. Provider business mailing address

3375 LAKE RIDGE DR
DUBUQUE IA
52003-7864
US

V. Phone/Fax

Practice location:
  • Phone: 563-207-8932
  • Fax:
Mailing address:
  • Phone: 563-207-8932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number130472
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: